2024-03-28T08:58:07Zhttps://repositori.udl.cat/server/oai/requestoai:repositori.udl.cat:10459.1/677262019-12-17T00:13:30Zcom_10459.1_237com_10459.1_2col_10459.1_354
Gaceta Sanitaria en 2018. Fortalecimiento de la presencia en Latinoamérica y promoción de la publicación de temas esenciales para el Sistema Nacional de Salud
Bermúdez-Tamayo, Clara
Negrín Hernández, Miguel
Alguacil, Juan
Briones Vozmediano, Erica Tula
Cantarero, David
Carrasco Portiño, Mercedes
Casino, Gonzalo
Castro Sánchez, Enrique
García Calvente, Mar
González Zapata, Laura Inés
Epstein, David
Hernan, Mariano
Posenato García, Leila
Ruiz Cantero, María Teresa
Segura, Andreu
Zunzunegui, María Victoria
Sarría, Antonio
Juárez, Lucero
Lumbreras, Blanca
Alvarez-Dardet, Carlos
Una vez más, presentamos el informe de la actividad realizada por el equipo editorial a lo largo del año anterior y los datos de desempeño de la revista, con el fin de rendir cuentas a nuestros/as lectores/as, a las personas socias de SESPAS y a la sociedad. El documento permite analizar los avances y las áreas de mejora de la revista, así como los logros alcanzados más relevantes. Este año queremos destacar el fortalecimiento de la presencia en Latinoamérica y la promoción de la publicación de temas esenciales para el Sistema Nacional de Salud
2019-12-16T11:13:36Z
2019-12-16T11:13:36Z
2019-12-16T11:13:36Z
2019
info:eu-repo/semantics/article
https://doi.org/10.1016/j.gaceta.2019.02.002
028466
0213-9111
http://hdl.handle.net/10459.1/67726
spa
Reproducció del document publicat a https://doi.org/10.1016/j.gaceta.2019.02.002
Gaceta Sanitaria, 2019, vol. 33, núm. 2, p. 95-98
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) SEPAS, Elsevier, 2019
Elsevier
Sociedad Española de Salud Pública y Administración Sanitaria
oai:repositori.udl.cat:10459.1/700252020-12-10T12:51:52Zcom_10459.1_237com_10459.1_2col_10459.1_354
Normative data and correlation between dynamic knee valgus and neuromuscular response among healthy active males: a cross-sectional study
Llurda Almuzara, Luis
Pérez Bellmunt, Albert
López de Celis, Carlos
Aiguadé Aiguadé, Ramon
Seijas, Roberto
Casasayas, Oriol
Labata Lezaun, Noé
Alvarez, Pedro
Dynamometer
Fuerza
Isométrico
Performance
The dynamic knee valgus (DKV) during different sport maneuvers has been widely described as risk factor to develop an anterior cruciate ligament injury. Hip and knee muscles seem to have a crucial role to prevent the dynamic knee valgus. This study aimed to give normative and correlational data about DKV and hip and knee neuromuscular response (NMR) among healthy active males. The hypothesis is that DKV could be correlated with hip NMR. A cross-sectional correlational study. Research Anatomy Laboratory. The study was carried out among 50 active, non-injured males. Dynamic Knee- Valgus angle and lower limb posterior chain muscles Neuromuscular Response. DKV was measured using Kinovea software during a Single-Legged Drop Jump test and NMR was measured using tensiomyography and myotonometry for gluteus maximum, biceps femoris, semitendinosus, lateral and medial gastrocnemius. Right and left limbs were both performed and analyzed independently. No significant correlation was observed between DKV and hip and knee muscles NMR. This study shows normative and correlational data about dynamic knee valgus, tensiomyography and myotonometry for healthy and active males. The DKV control seems to be non-correlated with isolated hip and knee muscles NMR so this suggests it is more about Central Nervous System activity than about isolated muscles NMR.
2020-12-09T11:22:39Z
2020-12-09T11:22:39Z
2020-12-09T11:22:39Z
2020-12-02
info:eu-repo/semantics/article
https://doi.org/10.1038/s41598-020-74177-8
030637
2045-2322
http://hdl.handle.net/10459.1/70025
eng
Reproducció del document publicat a: https://doi.org/10.1038/s41598-020-74177-8
Scientific Reports, 2020, vol. 10, núm. 17206, p. 1-10
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es
cc-by (c) Llurda Almuzara, Luis et al., 2020
Springer
oai:repositori.udl.cat:10459.1/728082022-01-31T09:59:47Zcom_10459.1_237com_10459.1_2col_10459.1_354
Emotional impact and compassion fatigue in oncology nurses: Results of a multicentre study
Arimón Pagès, Esther
Torres Puig-gros, Joan
Fernández Ortega, Paz
Canela Soler, Jaume
Oncology nurses
Compassion Fatigue
Burnout
Secondary Traumatic Stress
Anxiety
Intention to leave
Nurses' vulnerability
Purpose
To assess the prevalence of Compassion Satisfaction, Compassion Fatigue (Burnout and Secondary Traumatic Stress) and anxiety in oncology nurses and the association with demographics, training, work-related conditions, and psychological factors.
Method
A multicentre, cross-sectional study in 8 selected hospitals in Catalonia (Spain) involving oncology nurses. Primary outcomes were Compassion Satisfaction and Compassion Fatigue (Burnout/Secondary Traumatic Stress), evaluated with the Professional Quality of Life questionnaire v.IV, and anxiety, evaluated with the State-Trait Anxiety Inventory.
Results
Of 297 participants, 18.2% (95% confidence interval [CI]:16.1–20.3) presented low Compassion Satisfaction; 20.2% (95% CI:18.0–22.4), high burnout; and 37.4% (95% CI:34.8–40.0), high Secondary Traumatic Stress. Trait and State Anxiety were high in 5.4% (95% CI:4.2–6.6) and 8.1% (95% CI:6.6–9.6) of participants, respectively. Nurses’ desire to leave the unit was associated with high burnout (adjusted odds ratio [ORa] 3.7, 95% CI:1.9–7.5) and Secondary Traumatic Stress (ORa 3.2, 95% CI:1.9–5.3), while the desire to leave the profession was related to high State Anxiety (ORa 12.5, 95% CI:4.6–33.7). Most participants (96.9%) were interested in receiving emotional management training.
Conclusions
Continuous demands on oncology nurses’ empathy can lead them to experience compassion fatigue, anxiety and a desire to leave the profession.
The first study carried out with Spanish oncology nurses shows Compassion Fatigue is highly prevalent. This is related to nurses’ desire to change units, leave their profession and has negative implications on staff satisfaction and quality of care. This problem justifies institutions support strategies for these professionals.
2022-01-24T09:25:39Z
2022-01-24T09:25:39Z
2022-01-24T09:25:39Z
2019
info:eu-repo/semantics/article
https://doi.org/10.1016/j.ejon.2019.09.007
029017
1462-3889
http://hdl.handle.net/10459.1/72808
eng
Versió postprint del document publicat a: https://doi.org/10.1016/j.ejon.2019.09.007
European Journal Of Oncology Nursing, 2019, vol. 12, núm. 43
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c)Elsevier, 2019
Elsevier
oai:repositori.udl.cat:10459.1/604282022-01-12T12:23:51Zcom_10459.1_227com_10459.1_2com_10459.1_237com_10459.1_47453com_10459.1_240col_10459.1_314col_10459.1_354col_10459.1_59998col_10459.1_333
Decreased quality of live and treatment satisfaction in patients with latent autoinmune diabetes of the adult
Granado Casas, Minerva
Martínez Alonso, Montserrat
Alcubierre Calvo, Núria
Ramírez-Morros, Anna
Hernández García, Marta
Castelblanco Echavarría, Esmeralda
Torres Puig-gros, Joan
Mauricio Puente, Dídac
Objectives. Our main aim was to assess the quality of life (QoL) and treatment satisfaction (TS) of subjects with LADA (latent autoimmune diabetes of the adult) and compare these measures with those of patients with other diabetes types, i.e., type 1 (T1DM) and type 2 diabetes mellitus (T2DM). Methods. This was a cross-sectional study with a total of 48 patients with LADA, 297 patients with T2DM and 124 with T1DM. The Audit of Diabetes-Dependent Quality of Life (ADDQoL-19) questionnaire and the Diabetes Treatment Satisfaction Questionnaire (DTSQ) were administered. Relevant clinical variables were also assessed. The data analysis included comparisons between groups and multivariate linear models. Results. The LADA patients presented lower diabetes-specific QoL (p D 0:045) and average weighted impact scores (p D 0:007) than the T2DM patients. The subgroup of LADA patients with diabetic retinopathy (DR) who were treated with insulin had a lowerADDQoLaverage weighted impact score than the other diabetic groups. Although the overall measure of TS was not different between the LADA and T2DM (pD0:389) and T1DM (pD0:091) groups, the patients with LADA showed a poorer hyperglycemic frequency perception than the T2DM patients (p<0:001) and an improved frequency of hypoglycemic perception compared with the T1DM patients (pD0:021). Conclusions. The current findings suggest a poorer quality of life, especially in terms of DRand insulin treatment, among patients with LADA compared with those withT1DM and T2DM. Hyperglycemia frequency perception was also poorer in the LADA patients than in the T1DM and T2DM patients. Further research with prospective studies and a large number of patients is necessary.
2017-11-06T19:23:31Z
2017-11-06T19:23:31Z
2017-11-06T19:23:31Z
2017-10-18
info:eu-repo/semantics/article
https://doi.org/10.7717/peerj.3928
026046
2167-8359
http://hdl.handle.net/10459.1/60428
eng
Reproducció del document publicat a: https://doi.org/10.7717/peerj.3928
Peerj, 2017, 5:e3928
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es
cc-by (c) Granado Casas, Minerva et al., 2017
PeerJ
oai:repositori.udl.cat:10459.1/732322022-03-10T00:14:50Zcom_10459.1_237com_10459.1_2col_10459.1_354
Explotación y precariedad sociolaboral, la realidad de las personas migrantes trabajadoras en agricultura en España
Briones Vozmediano, Erica Tula
González González, Agustín
El trabajo agrícola de temporada en España se caracteriza por un gran desgaste físico, un bajo requerimiento de cualificación y unas precarias condiciones laborales. Estos elementos han generado que los autóctonos hayan ido abandonando paulatinamente este nicho laboral para ser remplazados por migrantes internacionales de una amplia variedad de orígenes. Otra particularidad de este mercado laboral es la corta duración de los puestos de trabajo al vincularse con las temporadas de cosecha del producto agrícola. Así, a lo largo del año, diferentes campañas que atraen a miles de personas en la búsqueda de un trabajo, desde la recolección del fruto rojo en Huelva hasta a la cosecha de la fruta dulce en Lleida durante el verano, pasando por la agricultura intensiva de mayor duración como la horticultura murciana y almeriense. El movimiento constante entre las diferentes explotaciones agrarias ha llevado a que este colectivo sea conocido como los temporeros.
2022-03-09T08:58:54Z
2022-03-09T08:58:54Z
2022-03-09T08:58:54Z
2022
info:eu-repo/semantics/article
https://doi.org/10.12961/aprl.2022.25.01.02
031962
1138-9672
1578-2549
http://hdl.handle.net/10459.1/73232
spa
Reproducció del document publicat a: https://doi.org/10.12961/aprl.2022.25.01.02
Archivos de Prevención de Riesgos Laborales, 2022, vol. 25, núm. 1, p. 18-24
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) Acadèmia de Ciències Mèdiques i de la Salut de Catalunya i de Balears, 2022
Associació Catalana de Salut Laboral
oai:repositori.udl.cat:10459.1/4642272023-10-24T03:00:18Zcom_10459.1_237com_10459.1_2col_10459.1_354
NANDA nursing diagnoses associated with the occurrence of psychomotor agitation in patients with severe mental disorder: a cross-sectional study
Garrote Cámara, María Elena
Juárez Vela, Raúl
Rodríguez-Muñoz, Pedro-Manuel
Pérez, Jesús
Sánchez-González, Juan-Luis
Rubinat, Esther
Navas-Echazarreta, Noelia
Sufrate Sorzano, Teresa
Santolalla Arnedo, Iván
Nursing
Mental Health
Severe Mental disorder
Psychomotor agitation
Standardized nursing terminology
Background
Psychomotor agitation is increased psychomotor activity, restlessness and irritability. People with psychomotor agitation respond by overreacting to intrinsic and extrinsic stimuli, experiencing stress and/or cognitive impairment. the aim was to analyse the association of nursing diagnoses with the disinhibition dimension, the aggressiveness dimension and the lability dimension of the Corrigan Agitated Behaviour Scale.
Methods
This study was conducted in Spain using a multicentre cross-sectional convenience sample of 140 patients who had been admitted to psychiatric hospital units and had presented an episode of psychomotor agitation between 2018 and 2021.
Results
The Corrigan Agitated Behaviour Scale was used to assess psychomotor agitation. Associated nursing diagnoses, violence directed at professionals and the environment are shown to be predictive values for the severity of the agitation episode. Moderate-severe psychomotor agitation episodes are shown as predictors of violence directed mainly at professionals and the environment.
Conclusions
There is an urgent need for mental health nurses to have knowledge of the extended clinic in order to care for users and improve their health conditions in dealing with people, with their social, subjective and biological dimension.
2023-10-23T12:08:19Z
2023-10-23T12:08:19Z
2023-10-23T12:08:19Z
2023
info:eu-repo/semantics/article
https://doi.org/10.1186/s12912-023-01434-2
1472-6955
https://repositori.udl.cat/handle/10459.1/464227
eng
Reproducció del document publicat a https://doi.org/10.1186/s12912-023-01434-2
BMC Nursing, 2023, vol. 22, 292
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) María-Elena Garrote-Cámara et al., 2023
Attribution 4.0 International
BMC
oai:repositori.udl.cat:10459.1/4643262023-11-01T03:00:25Zcom_10459.1_237com_10459.1_2col_10459.1_354
Austerity Measures and Underfunding of the Spanish Health System during the COVID-19 Pandemic—Perception of Healthcare Staff in Spain
Otero García, Laura
Mateos, José Tomás
Esperato, Alexo
Llubes Arrià, Laia
Regulez Campos, Vanesa
Muntaner, Carles
Legido-Quigley, Helena
COVID-19
Health policy
Healthcare financing
Qualitative research
Spain
Insufficient pandemic preparedness and underfunding of human and economic resources have conditioned the response to COVID-19 in Spain. This underfunding has continued since the austerity measures introduced during the 2008 financial crisis. This study aims to understand the perceptions of healthcare staff in Spain on the relationship between the funding of the health system and its capacity to respond to the COVID-19 pandemic. To this end, we carried out a thematic content analysis, based on 79 online semi-structured interviews with healthcare staff across the regions most affected by the COVID-19 first wave. Participants reported a lack of material resources, which had compromised the capacity of the health system before the pandemic. The lack of human resources was to be addressed by staff reorganisation, such as reinforcing hospital units to the detriment of primary health care. Staff shortages continued straining the COVID-19 response, even after material scarcities were later partially alleviated. Personnel shortages need to be adequately addressed in order to adequately respond to future health crises.
2023-10-31T09:13:53Z
2023-10-31T09:13:53Z
2023-10-31T09:13:53Z
2023
info:eu-repo/semantics/article
https://doi.org/10.3390/ijerph20032594
1660-4601
https://repositori.udl.cat/handle/10459.1/464326
eng
Reproducció del document publicat a https://doi.org/10.3390/ijerph20032594
International Journal of Environmental Research and Public Health, 2023, 20, núm. 3, 2594
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Laura Otero-García et al., 2023
Attribution 4.0 International
MDPI
oai:repositori.udl.cat:10459.1/720952021-12-01T13:02:04Zcom_10459.1_237com_10459.1_2col_10459.1_354
Interventions on food security and water uses for improving nutritional status of pregnant women and children younger than five years in low-middle income countries: a systematic review
Urgell-Lahuerta, Cristina
Carrillo Álvarez, Elena
Salinas-Roca, Blanca
Malnutrition
Food insecurity
Pregnancy
Children
WASH
Malnutrition is a global health issue concerning children and pregnant women in low and middle-income countries (LMICs). The aim of this review was to assess the health-impact
outcomes of interventions addressing food security, water quality and hygiene in order to address the
improvement of the nutritional status in children below five years and pregnant women in LMICs.
Using PRISMA procedures, a systematic review was conducted by searching in biomedical databases
clinical trials and interventions for children and pregnant women. Full articles were screened
(nf = 252) and critically appraised. The review included 27 randomized and non-randomized trials
and interventions. Based on the analysis, three agents concerning nutritional status were identified.
First, exclusive breastfeeding and complementary feeding were fundamental elements in preventing
malnutrition. Second, provision of sanitation facilities and the promotion of hygienic practices were
also essential to prevent infections spread and the consequent deterioration of nutritional status.
Finally, seasonality was also seen to be a relevant factor to consider while planning and implementing
interventions in the populations under study. In spite of the efforts conducted over last decades,
the improvement in food insecurity rates has remained insufficient. Therefore, the development of
global health programs is fundamental to guide future actions
2021-10-19T08:10:27Z
2021-10-19T08:10:27Z
2021-10-19T08:10:27Z
2021-05-02
info:eu-repo/semantics/article
https://doi.org/10.3390/ijerph18094799
1660-4601
http://hdl.handle.net/10459.1/72095
eng
Reproducció del document publicat a https://doi.org/10.3390/ijerph18094799
International Journal of Environmental Research and Public Health, 2021, vol 18, núm. 9, p. 4799 (1-15)
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Urgell et al., 2021
MDPI
oai:repositori.udl.cat:10459.1/843822022-11-29T00:08:14Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
High-Intensity Interval Training (HIIT) on Biological and Body Composition Variables in Patients with Musculoskeletal Disorders: A Systematic Review and Meta-Analysis
Casaña, Jose
Varangot-Reille, Clovis
Calatayud, Joaquin
Suso-Martí, Luis
Sanchís-Sánchez, Enrique
Aiguadé Aiguadé, Ramon
López-Bueno, Rubén
Gargallo, Pedro
Cuenca-Martínez, Ferran
María Blanco-Díaz
Entrenos en intervalos de alta intensidad
Systematic revision
Fisioterapia
High-intensity interval training
Musculoskeletal pain
Body composition
Blood pressure
Heart rate
In order to assess the impact of high-intensity interval training (HIIT) on biological and body composition variables in patients with musculoskeletal disorders (MSKD), a systematic search on PubMed (Medline), CENTRAL, CINAHL, Web of Science, SPORTDiscus, and Scopus was conducted. Standardized mean differences (SMD) and 95% confidence intervals were calculated and pooled in a meta-analysis using the random-effects model. The effectiveness of HIIT on waist circumference, muscle mass, resting heart rate, resting systolic and diastolic blood pressure, C-reactive protein, body weight, and body fat were determined. GRADE, risk of bias 2, and PEDro scales were employed. HIIT compared to no intervention, minimal intervention, or usual care did not show significant results in its favor on any of the variables studied, except for the resting heart rate when compared with no intervention (SMD = −0.33; 95% CI: −0.63, −0.04; heterogeneity Q value: 0.14; p = 0.93; I2 = 0%). In addition, HIIT also does not seem to be more effective than moderate-intensity continuous training. Based on the results, it seems that HIIT has almost no significant effects on biological and body composition variables, except for resting heart rate, in patients with MSKD.
2022-11-28T08:08:26Z
2022-11-28T08:08:26Z
2022-11-28T08:08:26Z
2022-11-24
info:eu-repo/semantics/article
https://doi.org/10.3390/jcm11236937
032841
2077-0383
http://hdl.handle.net/10459.1/84382
eng
Reproducció del document publicat a: https://doi.org/10.3390/jcm11236937
Journal Of Clinical Medicine, 2022, vol. 11, núm. 23, p. 1-30
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/4.0/
cc-by (c) the authors, 2022
MDPI
oai:repositori.udl.cat:10459.1/4635592023-06-27T03:00:19Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_240col_10459.1_354col_10459.1_59998col_10459.1_333
Analysis of the Ischemia-Modified Albumin as a Potential Biomarker for Cardiovascular Damage in Obstructive Sleep Apnea Patients with Acute Coronary Syndrome
Resano, Pilar
Alfaro, Enrique
Solano Pérez, Esther
Coso, Carlota
Cubillos‑Zapata, Carolina
Díaz García, Elena
Romero Peralta, Sofía
Izquierdo Alonso, Jose Luis
Barbé Illa, Ferran
García-Río, Francisco
Sánchez de la Torre, Manuel
Mediano, Olga
Obstructive sleep apnea
Cardiovascular risk
Acute coronary syndrome
Biomarkers
Ischemia-modified albumin
Obstructive sleep apnea (OSA) has been identified as a cardiovascular (CV) risk factor. The potential of OSA promoting the synthesis of CV biomarkers in acute coronary syndrome (ACS) is unknown. Ischemia-modified albumin (IMA) has been identified as a specific CV biomarker. The aim of this study was to evaluate the role of IMA as a potential biomarker for determining the impact of OSA in ACS patients. A total of 925 patients (15.5% women, age: 59 years, body mass index: 28.8 kg/m2) from the ISAACC study (NCT01335087) were included. During hospitalization for ACS, a sleep study for OSA diagnosis was performed and blood samples extraction for IMA determination were obtained. IMA values were significantly higher in severe OSA (median (IQR), 33.7 (17.2–60.3) U/L) and moderate (32.8 (16.9–58.8) U/L) than in mild/no OSA (27.7 (11.8–48.6) U/L) (p = 0.002). IMA levels were very weakly related to apnea–hypopnea index (AHI) as well as hospital and intensive care unit stay, although they only maintained a significant relationship with days of hospital stay after adjusting for sex, age and BMI (ß = 0.410, p = 0.013). The results of the present study would suggest a potentially weaker role of OSA in the synthesis of the CV risk biomarker IMA in patients with ACS than in primary prevention.
2023-06-26T08:09:33Z
2023-06-26T08:09:33Z
2023-06-26T08:09:33Z
2023
info:eu-repo/semantics/article
https://doi.org/10.3390/ijms24109019
033273
1661-6596
https://repositori.udl.cat/handle/10459.1/463559
eng
Reproducció del document publicat a: https://doi.org/10.3390/ijms24109019
International Journal of Molecular Sciences, 2023, vol. 24, núm. 10
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) autors, 2023
Attribution 4.0 International
MDPI
oai:repositori.udl.cat:10459.1/832752023-06-02T09:33:16Zcom_10459.1_227com_10459.1_2com_10459.1_237com_10459.1_47453com_10459.1_241com_10459.1_240col_10459.1_314col_10459.1_354col_10459.1_59998col_10459.1_30324col_10459.1_333
Magnesium Levels Modify the Effect of Lipid Parameters on Carotid Intima Media Thickness
Cambray Carner, Serafí
Ibarz Escuer, Mercedes
Bermúdez López, Marcelino
Martí Antonio, Manuel
Bozić Stanojević, Milica
Fernández i Giráldez, Elvira
Valdivielso Revilla, José Manuel
Atherosclerosis
Cardiovascular risk
Cholesterol
First-order interaction
Magnesium
Classical risk factors of atherosclerosis in the general population show paradoxical effects in chronic kidney disease (CKD) patients. Thus, low low-density lipoprotein (LDL) cholesterol levels have been associated with worse cardiovascular outcomes. Magnesium (Mg) is a divalent cation whose homeostasis is altered in CKD. Furthermore, Mg levels have been associated with cardiovascular health. The present study aims to understand the relationships of Mg and lipid parameters with atherosclerosis in CKD. In this analysis, 1754 participants from the Observatorio Nacional de Atherosclerosis en Nefrologia (NEFRONA) cohort were included. Carotid intima media thickness (cIMT) was determined in six arterial territories, and associated factors were investigated by linear regression. cIMT correlated positively with being male, Caucasian, a smoker, diabetic, hypertensive, dyslipidemic and with increased age, BMI, and triglyceride levels, and negatively with levels of HDL cholesterol. First-order interactions in linear regression analysis showed that Mg was an effect modifier on the influence of lipidic parameters. Thus, cIMT predicted values were higher when triglycerides or LDL levels were high and Mg levels were low. On the contrary, when Mg levels were high, this effect disappeared. In conclusion, Mg acts as an effect modifier between lipidic parameters and atherosclerotic cardiovascular disease. Therefore, Mg levels, together with lipidic parameters, should be taken into account when assessing atherosclerotic risk.
2022-05-13T07:32:33Z
2022-05-13T07:32:33Z
2022-05-13T07:32:33Z
2020
info:eu-repo/semantics/article
https://doi.org/10.3390/nu12092631
032814
2072-6643
http://hdl.handle.net/10459.1/83275
eng
Reproducció del document publicat: https://doi.org/10.3390/nu12092631
Nutrients, 2020, vol. 12, núm. 9,
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Authors, 2020
MDPI
oai:repositori.udl.cat:10459.1/630632019-10-09T11:00:07Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Presencia de familiares durante la reanimación cardiopulmonar: perspectivas de pacientes, familiares y profesionales de la salud en el País Vasco
Tíscar González, Verónica
Gastaldo, Denise
Moreno-Casbas, Maria Teresa
Peter, Elizabeth
Rodriguez-Molinuevo, Ascensión
Gea Sánchez, Montserrat
Reanimación cardiopulmonar
Investigación cualitativa
Familia
Bioética
Objetivo
Explorar la percepción acerca de la presencia de familiares durante la reanimación cardiopulmonar (RCP) en pacientes adultos, de los propios pacientes y familiares, enfermeras y médicos.
Diseño
Se desarrolló un estudio cualitativo exploratorio y un análisis temático.
Emplazamiento
Atención Primaria, Atención Hospitalaria y Servicio de Emergencias del Servicio Vasco de Salud.
Participantes
La selección de los participantes se realizó a través de muestreo intencional. Se desarrollaron 4 grupos de discusión: uno de pacientes y familiares, 2 de enfermeras y uno de médicos.
Método
Se realizó un análisis temático. Se utilizaron técnicas de triangulación entre investigadores e investigador-informante. Se utilizó el programa informático Open Code 4.1.
Resultados
Se identificaron 3 categorías significativas: impacto de la actuación en la familia; peso de la responsabilidad ética y legal; poder, lugar donde sucede la parada y supuestos culturales.
Conclusiones
La RCP es un constructo social influido por los valores de los contextos socioculturales específicos. En este estudio, los pacientes y familiares describieron temor y resistencia a presenciar la RCP. Por su parte, los profesionales sanitarios consideran que su decisión reviste complejidad, siendo necesario valorar cada caso de forma independiente e integrando a pacientes y familiares en la toma de decisiones. Como líneas de investigación futuras sería recomendable profundizar sobre la experiencia subjetiva de familiares que hayan presenciado la RCP y el impacto de los elementos contextuales y socioculturales en sus percepciones.
Objective: To determine the perception of nurses, doctors, patients and family or relativesbeing present during cardiopulmonary resuscitation (CPR) in adult patients.Design: A qualitative exploratory study and thematic analysis were developed.Site: Primary Care, Hospital Care and Emergency Service of the Basque Health Service.Participants: The selection of the participants was made through intentional sampling. Fourfocus groups were developed: one of patients and family, 2 of nurses, and one of physicians.Method: Thematic analysis was performed. Triangulation techniques were used between inves-tigators and investigator-participant member. The Open code 4.1 statistics software was used.Results: Three significant categories were identified: the impact on the family; the weight ofethical and legal responsibility; power, place of death, and cultural assumptions.Conclusions: CPR is a social construct influenced by values which are situated in specific socio-cultural contexts. In this study, patients and family members describe the fear and resistanceto being present during CPR. Health professionals consider that their decision is complex, andeach case must be assessed independently, and patients and relatives must be integrated intodecision-making. Future research should explore in greater depth the subjective experienceof relatives who have witnessed CPR and the impact of contextual and sociocultural elementsfrom the perspectives of relatives.
2018-04-06T09:00:08Z
2018-04-06T09:00:08Z
2018-04-06T09:00:08Z
2018
article
https://doi.org/10.1016/j.aprim.2017.12.002
026587
0212-6567
http://hdl.handle.net/10459.1/63063
spa
Reproducció del document publicat a https://doi.org/10.1016/j.aprim.2017.12.002
Atención Primaria, 2019, vol. 51, núm. 5, p. 269-277
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) Verónica Tíscar et al., 2018
Elsevier
oai:repositori.udl.cat:10459.1/4633622023-05-19T03:00:22Zcom_10459.1_237com_10459.1_2col_10459.1_354
Auto-sacrificio femenino durante el padecimiento del cáncer de mama
Laza-Vásquez, Celmira
Gea Sánchez, Montserrat
Cáncer de mama
Autosacrificio
Género
Feminismos
Etnografía
Explorar los patrones del comportamiento socialmente construido y basados en el género asociado con el autosacrificio de mujeres jóvenes durante el padecimiento del cáncer de mama. Estudio cualitativo descriptivo realizado en la ciudad de Neiva, Departamento del Huila (Colombia) durante el 2018. Participaron 15 mujeres diagnosticadas a los 45 años o antes. La información se recolectó a través de un grupo de discusión y diez entrevistas semiestructuradas, y los datos se trataron mediante el análisis temático. Tres temas emergieron: 'Ante todo, cuidar de sus hijos(as) y su familia', 'Ocultar el dolor físico y emocional' y 'No ser una carga para su familia'. A pesar de la enfermedad, las mujeres deben continuar cumpliendo los roles socialmente establecidos para el género femenino, priorizando las necesidades de los demás y haciéndose cargo de las propias.
To explore the socially constructed and gendered patterns of behaviour associated with young women's self-sacrifice during breast cancer. Qualitative descriptive study conducted in the city of Neiva, Department of Huila (Colombia) during 2018. Fifteen women diagnosed with breast cancer at or before the age of 45 years participated. The information was collected through a discussion group and ten semi-structured interviews, and the data was analised through thematic analysis. Three themes emerged: "First of all, taking care of their children and family", "Hiding the physical and emotional pain" and "not being a burden on their family." Although they are suffering cancer, these women should continue fulfilling the socially established gender-roles for women, giving priority to the needs of others and then taking care of themselves.
Explorar os padrões de comportamento socialmente construídos e baseados no gênero associados ao autossacrifício de mulheres jovens durante o câncer de mama. Estudo qualitativo descritivo realizado na cidade de Neiva, Departamento de Huíla (Colômbia), durante 2018. Participaram 15 mulheres diagnosticadas com câncer, de 45 anos de idade ou menos. As informações foram coletadas a partir de um grupo de discussão e dez entrevistas semiestruturadas. Os dados foram tratados por meio de análise temática. Surgiram três temas: “antes de tudo, cuidar dos filhos e da família”, “ocultar a dor física e emocional” e “não se converter em sobrecarga para a família”. Apesar da doença, a mulher deve continuar exercendo os papéis socialmente estabelecidos para o gênero feminino, priorizando as necessidades dos outros e fazendo-se cargo das suas.
2023-05-18T07:42:04Z
2023-05-18T07:42:04Z
2023-05-18T07:42:04Z
2022-09-11
info:eu-repo/semantics/article
https://doi.org/10.1590/1806-9584-2022v30n377317
033202
0104-026X
https://repositori.udl.cat/handle/10459.1/463362
spa
Reproducció del document publicat a: https://doi.org/10.1590/1806-9584-2022v30n377317
Revista Estudos Feministas, 2022, vol. 30, núm. 3
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/4.0
cc-by (c) Revista Estudos Feministas, 2022
Universidad Federal de Santa Catarina
oai:repositori.udl.cat:10459.1/676952022-12-14T09:19:49Zcom_10459.1_237com_10459.1_2col_10459.1_354
Effectiveness of fibrolysis diacutaneous in the management of musculosketal diseases. A systematic review
Aiguadé Aiguadé, Ramon
Labata Lezaun, Noé
Moure Romero, Lourdes
Calvo Estelrich, Xavier
Pampín, P.
Llurda Almuzara, Luis
Revisión Sistemática
Fisioterapia
Sistema musculesquelètic
Purpose: The principal aim of the review is to study the evidence regarding the effectiveness of diacutaneous Fibrolysis (DF) in musculoskeletal diseases and getting some recommendations evidences based. Methods: An electronic literature search was conducted utilizing PubMed, ScienceDirect, PEDRO, Cochrane and Mendeley. All titles and abstracts were reviewed, and full text articles meeting eligibility criteria were assessed in detail to determine inclusion or exclusion. Articles were reviewed by two different investigators. Results: Principal findings of this review shows an improvement in functional capacity and a significant reduction of symptoms in the FD groups, immediately after intervention and at least, three months follow up. Conclusions: There is limited evidence and more studies are needed to assess the effectiveness of DF to improve the function or the symptomatology.
2019-12-10T12:53:17Z
2019-12-10T12:53:17Z
2019-12-10T12:53:17Z
2019-03-26
info:eu-repo/semantics/article
https://doi.org/10.15761/PRR.1000116
028574
2516-7081
http://hdl.handle.net/10459.1/67695
eng
Reproducció del document publicat a: https://doi.org/10.15761/PRR.1000116
Physiotherapy Research and reports, 2019, vol. 1, núm. 3, p. 1-2
info:eu-repo/semantics/openAccess
(c) Aiguadé, R. et al., 2019
OAT Open Acces Text
oai:repositori.udl.cat:10459.1/656242019-01-25T00:20:45Zcom_10459.1_237com_10459.1_2col_10459.1_354
Percepciones de pacientes con fibromialgia sobre el impacto de la enfermedad en el ámbito laboral
Briones Vozmediano, Erica Tula
Ronda-Pérez, Elena
Vives Cases, Carmen
Fibromialgia
Pacientes
Salud laboral
Investigación cualitativa
Objetivo
Explorar las percepciones de pacientes con fibromialgia (FM) sobre los problemas que experimentan en el ámbito laboral, para analizar cómo se enfrentan a ellos y se adaptan a las limitaciones derivadas de los síntomas de esta enfermedad.
Diseño
Estudio cualitativo exploratorio realizado en 2009.
Emplazamiento
Asociaciones de pacientes con FM de la Comunidad Valenciana (España).
Participantes
Dieciséis personas (13 mujeres y 3 hombres) diagnosticadas de FM por un reumatólogo, de distintas edades y ocupaciones, seleccionadas a partir de informantes clave y por la técnica de bola de nieve.
Método
Muestreo pragmático. Entrevistas semiestructuradas hasta alcanzar la saturación de la información cuando no emergían contenidos nuevos. Análisis de contenido cualitativo utilizando el software informático Atlas.ti-5 para generar y asignar códigos, formar categorías e identificar un tema latente.
Resultados
Se identificaron 4 categorías: las dificultades para cumplir las exigencias laborales, la necesidad de apoyo social en el entorno laboral, las estrategias adoptadas para continuar trabajando y la resistencia a abandonar el mercado de trabajo. De forma transversal a estas categorías emergió un tema: la disposición de permanecer o reincorporarse al mercado laboral.
Conclusiones
Se requiere atender las necesidades específicas de los pacientes con el fin de que logren permanecer en el mercado laboral, de acuerdo a sus capacidades. Para ello, emerge la necesidad de programas de sensibilización sobre las consecuencias de la FM en el entorno laboral para lograr la colaboración de los directivos, empresarios, profesionales de Atención Primaria y médicos del trabajo.
Objective
To explore the perceptions of patients with fibromyalgia (FM) on the problems they experience in the workplace, to discuss how they face and adapt to the limitations imposed by the symptoms of this disease.
Design
An exploratory qualitative study conducted in 2009.
Location. Associations of patients of FM from Valencia (Spain).
Participants
Sixteen patients (13 women and 3 men) diagnosed with FM by a rheumatologist, of different ages and occupations, selected from key informants and the snowball technique.
Method
Pragmatic sample. Semi-structured interviews until saturation of information when no new information emerged. Qualitative content analysis using the software Atlas.ti-5, to generate and assign codes, forming categories and identifying a latent theme.
Results
We identified four categories: difficulties in meeting the work demands, need for social support in the workplace, strategies adopted to continue working, and resistance to leave the employment. A theme which crosscut these categories emerged: FM patientś motivation to continue in the labour market.
Conclusions
Addressing the specific needs of patients it is essential in order to helping them to stay in the labour market, according to their capabilities. Awareness programs about the consequences of FM in the workplace are needed to achieve the collaboration of managers, entrepreneurs, occupational health professionals and primary care physicians and nurses.
2019-01-24T09:07:20Z
2019-01-24T09:07:20Z
2019-01-24T09:07:20Z
2015
info:eu-repo/semantics/article
https://doi.org/10.1016/j.aprim.2014.06.002
023555
0212-6567
http://hdl.handle.net/10459.1/65624
spa
Reproducció del document publicat a https://doi.org/10.1016/j.aprim.2014.06.002
Atención Primaria, 2015, vol. 47, núm. 4, p. 205-212
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) Elsevier, 2015
Elsevier
oai:repositori.udl.cat:10459.1/4632882023-05-09T03:00:30Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Sleep quality among inpatients of Spanish public hospitals
Bellon, Filip
Stremler, Robyn
Rubinat, Esther
Padilla Martínez, Julia M.
Casado Ramírez, Elvira
Sánchez Ortuño, Montserrat
Gea Sánchez, Montserrat
Martin Vaquero, Yolanda
Moreno-Casbas, Maria Teresa
Abad Corpa, Eva
Sleep quality
Public hospitals
Spain
Sleep is a complex process and is needed both in health and illness. Deprivation of sleep is known to have multiple negative physiological efects on people’s bodies and minds. Despite the awareness of these harmful efects, previous studies have shown that sleep is poor among hospitalised patients. We utilized an observational design with 343 patients recruited from medical and surgical units in 12 hospitals located in nine Spanish regions. Sociodemographic and clinical characteristics of patients were collected. Sleep quality at admission and during hospitalisation was measured by the Pittsburgh Sleep Quality Index. Sleep quantity was self-reported by patients in hours and minutes. Mean PSQI score before and during hospitalisation were respectively 8.62± 4.49 and 11.31 ± 4.04. Also, inpatients slept about an hour less during their hospital stay. Lower educational level, sedative medication intake, and multi-morbidity was shown to be associated with poorer sleep quality during hospitalisation. A higher level of habitual physical activity has shown to correlate positively with sleep quality in hospital. Our study showed poor sleep quality and quantity of inpatients and a drastic deterioration of sleep in hospital versus at home. These results may be helpful in drawing attention to patients’ sleep in hospitals and encouraging interventions to improve sleep.
2023-05-08T10:01:18Z
2023-05-08T10:01:18Z
2023-05-08T10:01:18Z
2022
info:eu-repo/semantics/article
https://doi.org/10.1038/s41598-022-26412-7
033134
2045-2322
https://repositori.udl.cat/handle/10459.1/463288
eng
Reproducció del document publicat a: https://doi.org/10.1038/s41598-022-26412-7
Scientific Reports, 2022, vol. 12
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
Attribution 4.0 International
Springer Nature
oai:repositori.udl.cat:10459.1/726382022-02-25T13:41:46Zcom_10459.1_237com_10459.1_2col_10459.1_354
Coping with intimate partner violence and the COVID-19 lockdown: The perspectives of service professionals in Spain
Vives Cases, Carmen
La Parra Casado, Daniel
Briones Vozmediano, Erica Tula
March, Sebastià
García Navas, Ana María
Carrasco, José Miguel
Otero García, Laura
Sanz-Barbero, Belen
Socioeconomic crisis and humanitarian disasters can cause increased stress for women who experience inter-partner violence (IPV). This study analyzed the impact of the COVID-19 lockdown on this important issue, their related health and social services and working conditions from the perspectives of professionals in different sectors. Forty-three semi-structured interviews were carried out with 47 professionals (44 women and 3 men) from 40 different entities (September 2020—April 2021). This content analysis suggests that the pandemic and its associated prevention measures have had a negative impact on women exposed to IPV and their children, which affected their social wellbeing. Professionals described burnout, difficult and slow administrative processes, and problems with coordination and access to information. These negative impacts were mitigated, in part, by the work of professionals, but this suggests that a series of key strategies are needed to improve the response capacity of the service sector to IPV in situations of crisis. These improvements are related to the availability of human and material resources; an efficient coordination network between the professionals from different sectors; existence of informal support networks in the community; protocols/procedures and prior training for better implementation; and greater flexibility and accessibility of basic services that benefit women who experience IPV.
2021-12-23T11:55:45Z
2021-12-23T11:55:45Z
2021-12-23T11:55:45Z
2021
info:eu-repo/semantics/article
https://doi.org/10.1371/journal.pone.0258865
032013
1932-6203
http://hdl.handle.net/10459.1/72638
eng
Reproducció del document publicat a : https://doi.org/10.1371/journal.pone.0258865
PLoS ONE, 2021, vol. 16, núm. 10, e0258865
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) authors, 2021
Public Library of Science
oai:repositori.udl.cat:10459.1/656942020-12-17T15:03:38Zcom_10459.1_237com_10459.1_2col_10459.1_354
El cine en la formación en promoción y educación para la salud: experiencia docente en el grado de enfermería
Nuin Orrio, Carmen
Botigué, Teresa
Jürschik, Pilar
Torner Benet, Ma.Teresa
Illesca Pretty, Mónica
Gea Sánchez, Montserrat
ABP
Promoción y educación para la salud
Enfermería
Cine
En el diseño de la asignatura Trabajo Integrado 2, que se imparte en 2º curso del grado de enfermería se ha utilizado el cine como recurso didáctico, que facilita la adquisición de competencias en promoción y educación para la salud. El objetivo del trabajo es mostrar el proceso de diseño de la asignatura Trabajo Integrado 2 y describir la metodología formativa y evaluativa que se utiliza en dicha asignatura
2019-02-01T08:45:27Z
2019-02-01T08:45:27Z
2019-02-01T08:45:27Z
2014
info:eu-repo/semantics/article
022503
2385-6203
http://hdl.handle.net/10459.1/65694
spa
Reproducció del document publicat a https://www.cidui.org/revistacidui/index.php/cidui/article/view/571
Revista del CIDUI, 2014, núm. 2, p. 1-9
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Carmen Nuin et al., 2014
CIDUI Congrés Internacional de Docència Universitària i Innovació
oai:repositori.udl.cat:10459.1/4644792023-11-10T03:00:20Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
“Enough is Enough”: tackling sexism, sexual harassment, and power abuse in Spain's academia and healthcare sector
Paniello Castillo, Blanca
González-Rojo, Elena
González Capella, Thais
Rosell Civit, Neus
Bernal Triviño, Ana Isabel
Legido-Quigley, Helena
Gea Sánchez, Montserrat
2023-11-09T17:20:36Z
2023-11-09T17:20:36Z
2023-11-09T17:20:36Z
2023-10-27
info:eu-repo/semantics/article
https://doi.org/10.1016/j.lanepe.2023.100754
033607
2666-7762
https://repositori.udl.cat/handle/10459.1/464479
eng
Reproducció del document publicat a https://doi.org/10.1016/j.lanepe.2023.100754
The Lancet Regional Health - Europe, 2023, vol. 34, núm. 100754, p. 1-3
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) The Authors, 2023
Attribution-NonCommercial-NoDerivatives 4.0 International
Elsevier
oai:repositori.udl.cat:10459.1/595232017-04-27T10:05:05Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Utilización de los recursos web para el intercambio de conocimientos en la poblacion enfermera
Martínez Soldevila, Jordi
Barallat Gimeno, Eva
Gea Sánchez, Montserrat
Blanco Blanco, Joan
Martínez Barriuso, Josep Maria
Ballesté Torralba, Jordi
Usos de les TIC
TIC
investigació qualitativa
Enfermería
En el transcurso de los estudios universitarios los alumnos del grado de enfermería constituyen su identidad profesional. Este proceso está influenciado por varios factores tales como: la dinámica del sistema de salud, las políticas existentes, el sistema educativo y las propias características individuales. La identidad profesional se ha conceptualizado, de hecho, como una realidad unánime, estable y persistente que se desprende de la socialización de la enfermera y la profesión. Las enfermeras deben de interiorizar los conocimientos, las habilidades, las normas establecidas y los valores éticos y morales en un período de tiempo relativamente corto. Todos estos conocimientos y aptitudes deben ser adquiridos antes de su incorporación en el mercado de trabajo y por ello debemos conocer todo lo que eso conlleva. El propósito del estudio es usar las nuevas tecnologías de la información y comunicación (TIC) para abordar las principales complicaciones que se les presentan a las enfermeras recién graduadas. Nuestro estudio quiere exponer las problemáticas que presentan las enfermeras principiantes y cómo éstas dificultades pueden reducirse gracias a las TIC. Todo lo que hemos expuesto hasta ahora es de gran importancia, pero para la creación de la plataforma web debemos conocer previamente las necesidades de los usuarios finales que puedan estar interesados en utilizarla. Previamente a sintetizar las necesidades que puedan tener los usuarios finales, realizamos una búsqueda bibliográfica para conocer las principales características e ítems que se deben considerar en la entrevista y en la elaboración de una página web.
2015
info:eu-repo/semantics/article
023508
1988-3439
http://hdl.handle.net/10459.1/59523
spa
Reproducció del document publicat a: http://www.index-f.com/para/n22/424.php
Paraninfo digital, 2015, vol. IX, num. 22
info:eu-repo/semantics/openAccess
(c) Fundación Índex, 2015
Fundación Índex
oai:repositori.udl.cat:10459.1/4634352023-07-12T12:50:28Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_56964col_10459.1_354col_10459.1_59998col_10459.1_57662
Physiotherapists' experiences on assisting physiotherapy users during the COVID-19 pandemic with lockdown measures in Spain.
Fernández-Lago, Helena
Climent Sanz, Carolina
Bravo Navarro, Cristina
Bosch Barceló, Pere
Masbernat Almenara, Maria
Sanjuan Sánchez, Daniel
Briones Vozmediano, Erica Tula
COVID-19
Physiotherapy
Practice patterns
Quarantine
Telerehabilitation
Background
Physiotherapists had faced a new healthcare scenario characterised by the restrictions caused by the COVID-19 pandemic.
Purpose
To explore the impact of the COVID-19 pandemic on the physiotherapy profession from the perspective of physiotherapists working in the public and private sectors.
Methods
Qualitative study based on semi-structured personal interviews with 16 physiotherapists working in public, private, or public-private partnership sectors in Spain. The data were collected between March and June 2020. Inductive qualitative content analysis was performed.
Results
The participants (13 women, 3 men; aged 24–44 years) had professional experience in diverse healthcare settings (primary, hospital, home, consultations, insurance companies, associations). Five categories were identified: (1) the impact of lockdown on the health of physiotherapy users; (2) managing the demand for physiotherapy services during lockdown; (3) introducing protocols and protective measures in physiotherapy consultations; (4) changes in therapeutic approaches; and (5) future expectations in the physiotherapy care model. Physiotherapists perceived that lockdown caused a decline in the functionality of people with chronic conditions, together with a reduction in the physiotherapy services. Difficulties in prioritising users considered urgent became evident, and the inclusion of prophylactic measures affected treatment duration differently depending on the care setting and the pandemic prompted the use of telerehabilitation.
Discussion
The pandemic affected the functional status of chronic physiotherapy users and made treatment time, quality of care and triage protocols visible. In physiotherapy, technological barriers need to be solved, such as digital literacy, families without resources, situations of dependency and cultural barriers.
2023-06-01T10:21:59Z
2023-06-01T10:21:59Z
2023-06-01T10:21:59Z
2023-05-19
info:eu-repo/semantics/article
https://doi.org/10.1002/pri.2015
033269
1471-2865
https://repositori.udl.cat/handle/10459.1/463435
en
Reproducció del document publicat a https://doi.org/10.1002/pri.2015
Physiotherapy Research International, 2023, e2015
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd, (c) Fernández-Lago et al., 2023
Attribution-NonCommercial-NoDerivatives 4.0 International
Wiley
oai:repositori.udl.cat:10459.1/836532022-07-20T00:06:45Zcom_10459.1_237com_10459.1_2col_10459.1_354
Un instrumento de evaluación del aprendizaje para el manejo de catéteres venosos periféricos: adaptación, extensión y validación en español
García Expósito, Judith
Reguant Álvarez, Mercedes
Almenta Saavedra, José Alberto
Díaz Segura, Claudia
Roca Llobet, Judith
Traducción inversa
Práctica basada en la evidencia
Validación de instrumentos
Enfermería
Catéter venoso periférico
Back-Translation
Evidence-based guidelines
Instruments validation
Nursing
Peripheral Venous Catheter
La práctica de enfermería debe basarse en la práctica basada en la evidencia disponible debido a su impacto en la atención segura del paciente. Su uso no solo debe fomentarse en los profesionales, sino que debe iniciarse en la formación en enfermería. El objetivo de este estudio se basa en traducir, adaptar y validar un instrumento de evaluación del conocimiento basado en la evidencia científica disponible en relación al manejo de los catéteres venosos periféricos. Se siguió un proceso en dos etapas: 1) traducción, adaptación y ampliación del instrumento; y 2) pruebas psicométricas. El estudio incluyó 675 estudiantes de enfermería. El coeficiente de consistencia interna alfa de Cronbach fue 0,703 y el coeficiente de correlación intraclase de 0.91. El instrumento se presentó bastante equilibrado en cuanto a dificultad: 46,6% de ítems fáciles, 13.3% de ítems de dificultad media y 53.3% de alta dificultad. En conclusión, es un instrumento simple de utilizar y de puntuar. La versión española tiene unas buenas propiedades psicométricas y proporciona un instrumento válido y fiable para la valoración de los conocimientos basados en la evidencia para un manejo óptimo de catéteres venosos periféricos en personas portadoras.
Nursing practice should be based on available evidence-based practice because of its impact on patient safety in care. Its use should not only be encouraged in professionals but should begin in nursing education. The objective of this study is to translate, adapt, extend and validate a learning assessment instrument in relation to knowledge of peripheral venous catheter management. A two-stage process was followed: 1) translation, adaptation and extension of the instrument; and 2) psychometric testing. The study included 675 nursing students. Cronbach's alpha internal consistency coefficient was 0.703 and the intraclass correlation coefficient was 0.91. The instrument was fairly balanced in terms of difficulty: 46.6% easy items, 13.3% items of medium difficulty and 53.3% of high difficulty. In conclusion, it is a simple instrument to use and to score. The Spanish version has good psychometric properties and provides a valid and reliable instrument for the assessment of knowledge for the management of catheters.
2022-07-19T11:24:11Z
2022-07-19T11:24:11Z
2022-07-19T11:24:11Z
2022
info:eu-repo/semantics/article
https://doi.org/10.6018/eglobal.493061
032284
1695-6141
http://hdl.handle.net/10459.1/83653
spa
Reproducció del document publicat a: https://doi.org/10.6018/eglobal.493061
Enfermería Global, 2022, vol. 21, núm. 2, p. 158–183
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) Servicio de Publicaciones, Universidad de Murcia, 2022
Universidad de Murcia
oai:repositori.udl.cat:10459.1/701572023-09-13T13:55:58Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_56964col_10459.1_354col_10459.1_59998col_10459.1_57662
Poor sleep quality experience and self-management strategies in fibromyalgia: a qualitative metasynthesis
Climent Sanz, Carolina
Morera-Amenós, Genís
Bellon, Filip
Pastells Peiró, Roland
Blanco Blanco, Joan
Valenzuela Pascual, Francesc
Gea Sánchez, Montserrat
Fibromyalgia
Poor sleep quality
Symptom management theory
Qualitative research
Metasynthesis
Fibromyalgia
Symptom Management Theory
Symptom experience
Poor sleep quality
Poor sleep quality is a major concern and a highly prevalent symptom in fibromyalgia. We aimed to develop a metasynthesis of qualitative studies to assess how people diagnosed with fibromyalgia experience and manage poor sleep quality following the concepts of the Symptom Management Theory. The principles of metasynthesis established by Sandelowski and Barroso were utilized. A pre-planned comprehensive search was implemented in PubMed, Scopus, ISIWebofScience, and Cinahl Plus databases. The methodological quality was assessed following the CASP Qualitative Checklist. The findings of the studies were subjected to a metasummary and a metasynthesis. Seventeen studies were included in the metasynthesis. Two overarching themes were pre-established: (1) experience of poor sleep quality in Fibromyalgia and (2) poor sleep quality management strategies in Fibromyalgia. Four sub-themes emerged from the results: (1) evaluation of poor sleep quality, (2) response to poor sleep quality, (3) management strategies to favor sleep, and (4) managing the consequences of a sleepless night. Poor sleep quality is a severe and disabling symptom that negatively impacts the general health status of people diagnosed with FM. Prescribed treatments are commonly seen as ineffective and self-management strategies are a last resort and do not show beneficial effects
2021-01-07T10:44:14Z
2021-01-07T10:44:14Z
2021-01-07T10:44:14Z
2020-12-10
info:eu-repo/semantics/article
https://doi.org/10.3390/jcm9124000
030670
2077-0383
http://hdl.handle.net/10459.1/70157
eng
Reproducció del document publicat a https://doi.org/10.3390/jcm9124000
Journal of Clinical Medicine, 2020, vol. 9, núm. 12, p. 1-18
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Climent Sanz et al., 2020
MDPI
oai:repositori.udl.cat:10459.1/4640632023-10-03T03:00:25Zcom_10459.1_227com_10459.1_2com_10459.1_237com_10459.1_47453col_10459.1_314col_10459.1_354col_10459.1_59998
Breathing cessation events that compose the apnea–hypopnea index are distinctively associated with the adverse outcomes in Alzheimer’s disease
Targa, Adriano
Benítez, Iván
Moncusí Moix, Anna
Dakterzada, Farida
Minguez Roure, Olga
Vaca, Rafaela
Dalmases, Mireia
Sánchez de la Torre, Manuel
Barbé Illa, Ferran
Piñol Ripoll, Gerard
Alzheimer’s disease
Obstructive sleep apnea
Apnea–hypopnea index
Hypopneas
Cognitive decline
Background Previous studies challenge the impact of obstructive sleep apnea (OSA) once patients are diagnosed with Alzheimer’s disease (AD). Nevertheless, OSA recognizably disrupts sleep, and relevant associations between sleep, AD pathological markers, and cognition have been demonstrated. We aimed to further explore this, evaluating the associations between each breathing cessation event that compose the apnea–hypopnea index (AHI) and the sleep structure to finally investigate whether this was related to increased levels of AD markers and higher cognitive decline.
Methods Observational, prospective study, including consecutive patients diagnosed with mild-moderate AD. The participants were submitted to overnight polysomnography followed by a cerebrospinal fluid collection for AD pathological markers levels determination. Neuropsychological assessment was performed at baseline and after 12 months of follow-up.
Results The cohort was composed of 116 patients (55.2% females) with a median [p25;p75] age of 76.0 [72.0;80.0] years and an AHI of 25.9 [15.1;48.5], which was mainly defined by the presence of hypopneas and obstructive apneas.
These were distinctively associated with the sleep structure, with obstructive apneas being related to arousals and sleep lightening and hypopneas being related to an increased number of arousals only. Despite having a lower
frequency, mixed and central apneas also presented associations with the sleep structure, particularly increasing the time spent in the lighter sleep stages. In relation to AD pathological markers, obstructive and mixed apneas were related to an augment in neurofilament light levels while hypopneas were associated with a higher phosphorylated- tau/amyloid-beta protein ratio. Hypopneas were the most important event for an increased cognitive decline
at the 12-month follow-up.
Conclusions Our findings highlight the importance of a patient-centered approach, with a comprehensive and detailed analysis of the AHI to effectively predict the different outcomes and tailor the appropriate therapeutic strategies.
2023-10-02T11:52:47Z
2023-10-02T11:52:47Z
2023-10-02T11:52:47Z
2023
info:eu-repo/semantics/article
https://doi.org/10.1186/s13195-023-01266-x
033426
1758-9193
https://repositori.udl.cat/handle/10459.1/464063
eng
Reproducció del document publicat a: https://doi.org/10.1186/s13195-023-01266-x
Alzheimer's Research and Therapy, 2023, vol. 15, núm. 1
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Authors, 2023
Attribution 4.0 International
BMC
oai:repositori.udl.cat:10459.1/4636212023-07-04T03:00:21Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
The impact of docosahexaenoic acid on maternal mental health: scoping review
Masot, Olga
Ochoa Herrera, Julio José
Paraíso Pueyo, Elena
Roca Llobet, Judith
Miranda Iglesias, Jessica
Lavedán, Ana
Docosahexaenoic acid
Depression
Anxiety
Pregnancy
Postpartum
Review
Ácido docosahexaenoico
Depresión
Ansiedad
Embarazo
Posparto
Revisión
Docosahexaenoic acid (DHA) is a polyunsaturated essential fatty acid from the omega-3 series that appears to be key to perinatal mental health. For this, the aim of this review is to evaluate the effect of DHA on maternal mental health during pregnancy and lactation with respect to depression and anxiety. The present scoping review was carried out following the methodology of Arksey and O'Malley (2005). The selection of studies was carried out in accordance with PRISMA by means of systematic searches in the PubMed, Scopus, PsycINFO and Medline databases. The results classified according to the effectiveness of DHA. In most (n = 9) of the 14 studies finally included, DHA plasma levels with or without other polyunsaturated omega-3 fatty acids were significantly lower in pregnant women with depressive and anxiety symptoms. However, no study reported a beneficial effect of DHA on mental health during the postpartum period. The majority used detection method was the Edinburgh Postpartum Depression Scale (n = 11). The prevalence of depressive symptoms ranged between 5.9 % and 50 %. As a conclusion, although more research is needed in this area, these exploratory results suggest that DHA could play an important role in preventing the pathogenesis of depression and anxiety during gestation.
El ácido docosahexaenoico (DHA) es un ácido graso esencial poliinsaturado de la serie omega-3 que parece ser clave para la salud mental perinatal. Por ello, el objetivo de esta revisión es evaluar el efecto del DHA sobre la salud mental materna durante el embarazo y la lactancia con respecto a la depresión y la ansiedad. La presente revisión se llevó a cabo siguiendo la metodología de Arksey y O’Malley (2005). La selección de estudios se realizó de acuerdo con PRISMA mediante búsquedas sistemáticas en las bases de datos PubMed, Scopus, PsycINFO y Medline. Los resultados se catalogaron según la eficacia del DHA. En la mayoría (n = 9) de los 14 estudios finalmente incluidos, los niveles plasmáticos de DHA con o sin otros ácidos grasos omega-3 poliinsaturados fueron significativamente más bajos en mujeres embarazadas con síntomas de depresión y 2ansiedad. Sin embargo, ningún estudio informó un efecto beneficioso del DHA sobre la salud mental durante el periodo posparto. El método de detección más utilizado fue la Escala de Depresión Posparto de Edimburgo (n = 11). La prevalencia de síntomas depresivos osciló entre el 5,9 % y el 50 %. Como conclusión, aunque se necesita más investigación en este ámbito, los resultados exploratorios parecen indicar que el DHA juega un papel importante en la prevención de la patogenia de la depresión y la ansiedad durante el periodo de gestación.
2023-07-03T12:16:31Z
2023-07-03T12:16:31Z
2023-07-03T12:16:31Z
2023-06-06
info:eu-repo/semantics/article
https://doi.org/10.20960/nh.04523
033346
0212-1611
https://repositori.udl.cat/handle/10459.1/463621
eng
Reproducció del document publicat a: https://doi.org/10.20960/nh.04523
Nutricion Hospitalaria, 2023, Online ahead of print
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/4.0/
cc-by-nc-sa (c) Nutrición Hospitalaria, 2023
Aran Ediciones
oai:repositori.udl.cat:10459.1/677312020-07-08T12:16:39Zcom_10459.1_237com_10459.1_2col_10459.1_354
Clinical Characteristics in U19 Elite Soccer Players, Implications on Injury Prevention
Llurda Almuzara, Luis
Pérez Bellmunt, Albert
López de Celis, Carlos
Aiguadé Aiguadé, Ramon
Casasayas, Oriol
Navarro, Raúl
Simon, Mathias
Peillón, Olivier
Ortiz-Miguel, Sara
Fisioterapia
Sport
Prevention
Young soccer players' injuries are receiving increased interest. The need of adopting injury prevention strategies to reduce financial, social and sport costs is obligated. The main purpose of this study is to analyse clinical characteristics of young soccer players in order to develop specific and effective injury prevention programs. Methods: This observational, transversal study includes 25 young soccer players from Spanish National League. Strength, motor control, flexibility and range of motion characteristics were analysed before the first preseason training. Results: Statistically significant differences were found for hip internal rotation (p value = 0.001), Thomas test (p value = 0.012) and ankle dorsiflexion test (p value = 0.009) between both sides. Dorsiflexion test showed a positive correlation with the hip internal rotation ROM (p < 0.016) and with the triple hop test (p < 0.007). The hip internal rotation ROM showed a positive correlation with the Thomas test (p < 0.033) and with the single leg squat test (p < 0.008). The drop jump test showed a positive correlation with the single leg squat test (p < 0.039). Conclusions: Clinical characteristics shown in this study should be taken into account in order to develop specific injury prevention for this specific population. Moreover, data shown in this study can be used as norm values for young soccer semi-professional players in future researches.
2019-05-14
info:eu-repo/semantics/article
https://doi.org/10.17265/2332-7839/2019.01.002
028575
2332-7839
http://hdl.handle.net/10459.1/67731
eng
Reproducció del document publicat a: https://doi.org/10.17265/2332-7839/2019.01.002
Journal of Sports Sciences, 2019, vol. 7, núm. 3, p. 6-15
http://creativecommons.org/licenses/by-nc/4.0/es
cc by-nc (c) David Publishing, 2019
David Publishing Company
oai:repositori.udl.cat:10459.1/691902020-07-10T09:57:57Zcom_10459.1_237com_10459.1_2col_10459.1_354
Attitudes and stigma toward mental health in nursing students: A systematic review
Giralt Palou, Rosa
Prat Vigué, Gemma
Tort Nasarre, Glòria
attitudes
Higher Education
mental healht
nursing
systematic review
Purpose: This systematic review seeks to ascertain whether mental health‐specific education reduces stigmatizing attitudes in nursing students. Design and Methods: A systematic review of the literature was performed. Findings: Thirteen studies met the inclusion criteria. Most of the results show an improvement in attitudes toward mental health, both in theory and clinical experience, but a greater improvement toward these stigmatizing attitudes was observed in clinical placements than in theory. Practical Implications: Mental‐health‐specific training seems to improve perceptions toward mental health. Clinical placement underpins theory, leading to a decrease in negative attitudes and stigma regarding mental health.
2019-07-28
info:eu-repo/semantics/article
https://doi.org/10.1111/ppc.12419
028813
0031-5990
http://hdl.handle.net/10459.1/69190
eng
Versió preprint del document publicat a: https://doi.org/10.1111/ppc.12419
Perspectives in Psychiatric Care, 2019, vol. 56, num. 2, p. 243-255
info:eu-repo/semantics/openAccess
(c) Wiley Periodicals, 2019
Wiley Periodicals
oai:repositori.udl.cat:10459.1/721982021-11-04T00:22:58Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Effects of Acute Psychological and Physiological Stress on Rock Climbers
Villavicencio, Pamela
Bravo Navarro, Cristina
Ibarz, Antoni
Solé Cases, Silvia
Stress
Cortisol
Saliva
Anxiety
Rock climbers
The aim of this study was to assess the effects that psychological and physiological stressors have on indoor rock climbers, as well as to identify sex differences. Methods: 14 intermediate rock climbers participated in the study, 10 males and 4 females. Mean age was 31 ± 8 years for males and 21 ± 2 years for females. Day 1 consisted of test familiarization and baseline measurements. Day 2 included two test conditions, startle and fatigue, separated by 20 min. In the startle condition, participants had to lead climb a route, and a loud audio stimulus was presented near the top of the climb. In the fatigue condition, participants were required to climb as fast as they could until muscular failure. The competitive state anxiety inventory second review (CSAI-2R) questionnaire was used to assess somatic anxiety, cognitive anxiety, and self-confidence. The four-square step test (FSST) was used to assess motor control, and cortisol levels were acquired via passive drool (PD). Results: Cortisol concentrations were highest in the pre-startle condition (1.72 μg/dL ± 0.66), and values decreased post-startle (1.67 μg/dL ± 0.74) and post-fatigue (1.42 μg/dL ± 0.72). However, cortisol concentrations increased post-startle in females (1.57 μg/dL ± 0.96). Somatic anxiety in males was significantly higher post-startle (16.36 ± 5.54) than pre-startle (14.23 ± 5.09). Females had significantly higher somatic anxiety post-startle (18.00 ± 8.76), and they had lower self-confidence levels (30.00 ± 5.89) than males. Conclusions: There are differences in the way that males and females prepare and respond to stressful situations. Furthermore, time of day may have had a significant impact on cortisol concentrations
2021-11-03T12:11:06Z
2021-11-03T12:11:06Z
2021-11-03T12:11:06Z
2021-10-27
info:eu-repo/semantics/article
https://doi.org/10.3390/jcm10215013
031755
2077-0383
http://hdl.handle.net/10459.1/72198
eng
Reproducció del document publicat a: https://doi.org/10.3390/jcm10215013
Journal Of Clinical Medicine, 2021, vol. 10, núm. 21
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/4.0/
cc-by (c) Authors, 2021
MDPI
oai:repositori.udl.cat:10459.1/845752022-12-15T00:05:57Zcom_10459.1_237com_10459.1_2col_10459.1_354
Effects of Adding an Online Exercise Program on Physical Function in Individuals Hospitalized by COVID-19: A Randomized Controlled Trial
Llurda Almuzara, Luis
Rodríguez-Sanz, Jacobo
López de Celis, Carlos
Aiguadé Aiguadé, Ramon
Arán Jové, Raúl
Labata Lezaun, Noé
Fernández-de-las-Peñas, César
Bosch, Joan
Pérez Bellmunt, Albert
COVID-19
Exercise
Fisioterapia
Performance
Functional capacity
Hospitalization
The worldwide pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus has impacted all healthcare systems. One potential sequela experienced by hospitalized coronavirus disease 2019 (COVID-19) survivors includes muscle weakness with a reduction in strength and, consequently, a possible increase in frailty. The aim of this clinical trial was to evaluate the efficacy of adding an online therapeutic exercise program for 8 weeks to the medical prescriptions on functional variables in patients hospitalized due to COVID-19. A randomized controlled trial including 70 previously hospitalized COVID-19 survivors was conducted. Patients were randomly allocated to an experimental (n = 35) or control (n = 35) group. Both groups received regular prescriptions provided by their medical doctors. The experimental group also received a live online therapeutic exercise program for 8 weeks (3 sessions/week). Handgrip strength, gait speed, lower-extremity strength, balance, and frailty were assessed at baseline, at the end of the program, and one month after the end of the intervention. The repeated measures analysis of variance revealed significant Group*Time interactions for all the outcomes: (handgrip dominant: F = 17.395, p < 0.001, η2 = 0.24; handgrip non-dominant: F = 33.197, p < 0.001, η2 = 0.33; 4 m walk test (4WT): F = 13.039, p = 0.001, η2 = 0.16; short physical performance battery (SPPB): F = 26.421, p < 0.001, η2 = 0.28; the five chair-raise test (5CRT): F = 5.628, p = 0.004, η2 = 0.08; FRAIL scale: F = 11.249, p = 0.001, η2 = 0.14): patients in the experimental group experienced greater improvements in all outcomes than those assigned to the control group. This study revealed that the addition of an online exercise program for 8 weeks obtained greater improvements in handgrip strength, gait speed, lower-extremity strength, balance, and frailty in a sample of previously hospitalized COVID-19 survivors than application of just usual medical prescription.
2022-12-14T09:26:22Z
2022-12-14T09:26:22Z
2022-12-14T09:26:22Z
2022-12-10
info:eu-repo/semantics/article
https://doi.org/10.3390/ijerph192416619
032870
1661-7827
http://hdl.handle.net/10459.1/84575
eng
Reproducció del document publicat a: https://doi.org/10.3390/ijerph192416619
International Journal Of Environmental Research And Public Health, 2022, vol. 19, núm. 24, p. 1-12
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/4.0/
cc-by (c) Llurda Almuzara, Luis et al., 2022
MDPI
oai:repositori.udl.cat:10459.1/493762017-03-10T14:16:53Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_240col_10459.1_354col_10459.1_59998col_10459.1_333
Effectiveness of a Multi-Component Intervention for Overweight and Obese Children (Nereu Program): A Randomized Controlled Trial
Serra Payà, Noemí
Castro Viñuales, Ivan
Real, Jordi
Sinfreu Bergués, Xènia
Zapata Rojas, Amalia
Galindo Ortego, Gisela
Solé Mir, Eduard
Mur, José María
Ensenyat Solé, Assumpta
Teixidó Armengol, Conxita
Introduction: Treatment of childhood obesity is a complex challenge for primary health care professionals. Objectives: To evaluate the effectiveness of the Nereu Program in improving anthropometric parameters, physical activity and sedentary behaviours, and dietary intake. Methods: Randomized, controlled, multicentre clinical trial comparing Nereu Program and usual counselling group interventions in primary care settings. The 8-month study recruited 113 children aged 6 to 12 years with overweight/obesity. Before recruitment, eligible participants were randomly allocated to an intensive, family-based multi-component behavioural intervention (Nereu Program group) or usual advice from their paediatrician on healthy eating and physical activity. Anthropometric parameters, objectively measured sedentary and physical activity behaviours, and dietary intake were evaluated pre- and post-intervention. Results: At the end of the study period, both groups achieved a similar decrease in body mass index (BMIsd) compared to baseline. Nereu Program participants (n = 54) showed greater increases in moderate-intense physical activity (+6.27% vs. -0.61%, p<0.001) and daily fruit servings (+0.62 vs. +0.13, p<0.026), and decreased daily soft drinks consumption (-0.26 vs. -0.02, p<0.047), respectively, compared to the counselling group (n = 59). Conclusions: At the end of the 8-month intervention, participants in the Nereu Program group showed improvement in physical activity and dietary behaviours, compared to the counselling group.
2016-01-22T10:05:59Z
2016-01-22T10:05:59Z
2016-01-22T10:05:59Z
2015
article
https://doi.org/10.1371/journal.pone.0144502
024412
1932-6203
http://hdl.handle.net/10459.1/49376
eng
Reproducció del document publicat a https://doi.org/10.1371/journal.pone.0144502
Plos One, 2015, vol. 10, núm. 12
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es/
cc-by (c) Serra et al., 2015
Public Library of Science
oai:repositori.udl.cat:10459.1/598252017-06-12T09:54:01Zcom_10459.1_237com_10459.1_2col_10459.1_354
The social construction of fibromyalgia as a health problem from the perspective of policies, professionals, and patients
Briones Vozmediano, Erica Tula
Fibromyalgia
Qualitative study
Patients
Health professionals
Health policies
Gender perspective
Background: Fibromyalgia is a painful chronic disease, suffered mainly by women, that
consolidates a number of symptoms and skeletal muscle issues which are little understood.
Objectives: To explore the social construction of FM from the perspective of health policies,
patients, and health professionals involved in their medical attention.
Methods: I) Policy review of national and regional health plans in a national and international
context, the clinical protocols for fibromyalgia in Spain, and the Parliamentary initials in the
European and Spanish context; and ii) Qualitative study involving 28 personal interviews with
16 fibromyalgia patients and 12 interviews with health care professionals in Spain.
Results: The findings show that in Spain, the fact that fibromyalgia lacks recognition still
remains: in policies, in the clinical and professional fields, and in the patients’ social circle.
International health policy has not yet taken steps to reflect the emergence of this recently
diagnosed disease. The care for patients suffering from fibromyalgia, who are mainly women,
leads to frustration among the healthcare professionals and desperation among the patients
themselves, as a resolutive treatment for the disease is not existing. Patients show resistance
at assuming the sick role. They want to carry on undertaking their daily activities, both in the
public sphere and in the private one. Roles involving the gendered division of labour were
found to follow a rigid pattern, both prior to and subsequent to the disease, as the causes
that led to frustration for men or women differ according to activities that are socially
assigned to them. In practice, FM is conceived exclusively as a women’s health problem,
which may result in a gender-biased patient healthcare attention.
Conclusion: Political, professional and individual spheres have an influence on how this
disease is constructed on a social level: as one of the “invisible women’s diseases”. It is
recommended to resolve the disease’s lack of recognition by i) implementing specific policies
for FM and ii) increasing the training and sensitization of health providers about the severity
of FM and the existence of gender prejudices biasing the attention.
2017-06-08T08:51:24Z
2017-06-08T08:51:24Z
2017-06-08T08:51:24Z
2017
article
https://doi.org/10.1080/16549716.2017.1275191
025320
1654-9880
http://hdl.handle.net/10459.1/59825
eng
Reproducció del document publicat a https://doi.org/10.1080/16549716.2017.1275191
Global Health Action, 2017, vol. 10, núm. 1, p. 1-12
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Briones Vozmediano, Erica Tula, 2017
Taylor & Francis
oai:repositori.udl.cat:10459.1/836122022-07-12T00:09:00Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Decision support-tools for early detection of infection in older people (aged> 65 years): a scoping review
Masot, Olga
Cox, Anna
Mold, Freda
Sund Levander, Märtha
Tingström, Pia
Boersema, Geertien Christelle
Botigué, Teresa
Daltrey, Julie
Hughes, Karen
Mayhorn, Christopher B.
Montgomery, Amy
Mullan, Judy
Carey, Nicola
Decision support tools
Detection
Signs and symptoms
Infection
Older adults
Background: Infection is more frequent, and serious in people aged > 65 as they experience non-specific signs and symptoms delaying diagnosis and prompt treatment. Monitoring signs and symptoms using decision support tools (DST) is one approach that could help improve early detection ensuring timely treatment and effective care. Objective: To identify and analyse decision support tools available to support detection of infection in older people (> 65 years). Methods: A scoping review of the literature 2010-2021 following Arksey and O'Malley (2005) framework and PRISMA-ScR guidelines. A search of MEDLINE, Cochrane, EMBASE, PubMed, CINAHL, Scopus and PsycINFO using terms to identify decision support tools for detection of infection in people > 65 years was conducted, supplemented with manual searches. Results: Seventeen papers, reporting varying stages of development of different DSTs were analysed. DSTs largely focussed on specific types of infection i.e. urine, respiratory, sepsis and were frequently hospital based (n = 9) for use by physicians. Four DSTs had been developed in nursing homes and one a care home, two of which explored detection of non- specific infection. Conclusions: DSTs provide an opportunity to ensure a consistent approach to early detection of infection supporting prompt action and treatment, thus avoiding emergency hospital admissions. A lack of consideration regarding their implementation in practice means that any attempt to create an optimal validated and tested DST for infection detection will be impeded. This absence may ultimately affect the ability of the workforce to provide more effective and timely care, particularly during the current covid-19 pandemic.
2022-07-11T07:39:37Z
2022-07-11T07:39:37Z
2022-07-11T07:39:37Z
2022-06-01
info:eu-repo/semantics/article
https://doi.org/10.1186/s12877-022-03218-w
032538
1471-2318
http://hdl.handle.net/10459.1/83612
eng
Reproducció del document publicat a: https://doi.org/10.1186/s12877-022-03218-w
Bmc Geriatrics, 2022, vol. 22, núm. 1, p. 552
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/4.0/
cc-by (c) Masot, Olga et al., 2022
BMC
oai:repositori.udl.cat:10459.1/735162022-05-13T00:25:23Zcom_10459.1_71305com_10459.1_2com_10459.1_237col_10459.1_71306col_10459.1_354
Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
Bawaked, Rowaedh Ahmed
Gómez Santos, Santiago Felipe
Homs, Clara
Casas Esteve, Rafael
Cardenas, Gabriela
Fitó Colomer, Montserrat
Schröder, Helmut
Eating behaviors
Mediterranean diet
Socioeconomic status
Background
The Mediterranean diet serves as a proxy of a high-quality diet. Although several factors are known to affect a child's ability to follow a high-quality diet, no prospective data are available on factors that influence adherence to a Mediterranean diet among children. Our objective was to investigate the association of Mediterranean diet adherence with eating behaviors, lifestyle habits, and maternal education in a prospective cohort of children.
Methods
The present prospective cohort analysis included 1639 children aged 8–10 years. The study was carried out during two academic years, 2012/2014, with an average follow-up of 15 months. Eating behaviors, physical activity, and adherence to Mediterranean diet were estimated by the Dutch Eating Behavior Questionnaire for Children, the Physical Activity Questionnaire for Children, and the KIDMED index, respectively.
Results
Multivariate linear regression analysis adjusted for sex, age, maternal education, baseline adherence to the Mediterranean diet, and intervention group revealed a significant (p < 0.01) inverse association of external eating and screen time with adherence to the Mediterranean diet at follow-up (mean of 15 months). The opposite association was found for meal frequency and physical activity (p < 0.02). A high level of maternal education increased the odds of a child's high adherence to the Mediterranean diet (OR = 1.56 CI 1.13; 2.14) compared to peers whose mothers had only a primary education.
Conclusions
Screen time, physical activity, meal frequency, and external eating predict adherence to the Mediterranean diet independently of baseline diet quality. Maternal education level is an important prospective determinant for the adherence to the Mediterranean diet.
2022-04-05T08:16:06Z
2022-04-05T08:16:06Z
2022-04-05T08:16:06Z
2018-11
info:eu-repo/semantics/article
https://doi.org/10.1016/j.appet.2018.08.024
0195-6663
http://hdl.handle.net/10459.1/73516
eng
Versió postprint del document publicat a https://doi.org/10.1016/j.appet.2018.08.024
Appetite, 2018, vol. 130, p. 279-285
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) Elsevier, 2018
Elsevier
oai:repositori.udl.cat:10459.1/3562020-07-14T08:39:38Zcom_10459.1_237com_10459.1_2com_10459.1_240col_10459.1_354col_10459.1_333oai:repositori.udl.cat:10459.1/4643042023-10-31T03:00:25Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_241col_10459.1_354col_10459.1_59998col_10459.1_30324
Spanish-Dementia Knowledge Assessment Scale (DKAS-S): Ecuadorian validation and comparison among Spanish health students
Carnes Vendrell, Anna
Barallat Gimeno, Eva
Lara Gallego, Beatriz
Lladó, A.
Escobar Bravo, Miguel Ángel
Reivan‑Ortiz, G. G.
Maxi‑Maxi, E. A.
Martínez‑Suárez, P. C.
Ramírez‑Coronel, A. A.
Piñol Ripoll, Gerard
Alzheimer’s disease
Dementia
Ecuador
Knowledge
DKAS
Spain
Validation studies
Students
Introduction
Alzheimer’s disease (AD) is the most frequent cause of cognitive impairment. Improving knowledge of dementia management through health education for health professionals can improve clinical and community care in home and specialist settings. It is important to guarantee good dementia knowledge in health students, and it is necessary to evaluate it with a good standardized tool. The aim of the current study was to assess the psychometric properties of the DKAS-S with cohorts of Ecuadorian health students, to compare these results with a former validation in Spanish health students and to analyse the level of knowledge according to different variables.
Methods
We performed a cross-sectional study to assess the validity, reliability and feasibility of the DKAS-S by comparing two different cohorts of health students (nursing and psychologists).
Results
A total of 659 students from Spain (n = 233) and Ecuador (n = 426) completed the DKAS-S (mean age 24.02 (6.35) years old), and 52.80% were nursing students. The DKAS-S showed good internal consistency in the Ecuadorian cohort (Cronbach’s α = 0.76). No significant difference was found between Spanish and Ecuadorian students (p = 0.767) in the global scale score, but there were differences in some subscales. Psychologist students scored significantly higher on the global scale than nursing students (32.08 (9.51) vs. 27.49 (7.15); p < 0.001)). Students with a family history of cognitive impairment scored higher on the global scale, and those who had contact with people with dementia obtained better results on the global scale.
Conclusions
We confirmed that the DKAS-S is an adequate and useful instrument to measure levels of knowledge about dementia among health students in Spanish-speaking communities. It is a reliable and valid measure with good psychometric properties. Understanding health students’ knowledge about dementia will allow better adaptation of academic plans to train better health professionals.
2023-10-30T09:20:28Z
2023-10-30T09:20:28Z
2023-10-30T09:20:28Z
2023
info:eu-repo/semantics/article
https://doi.org/10.1186/s12877-023-03904-3
1471-2318
https://repositori.udl.cat/handle/10459.1/464304
eng
Reproducció del document publicat a https://doi.org/10.1186/s12877-023-03904-3
BMC Geriatrics, 2023, vol. 23, 210
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) A. Carnes‑Vendrell et al., 2023
Attribution 4.0 International
BMC
oai:repositori.udl.cat:10459.1/700402023-02-03T10:18:41Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review
Masot, Olga
Miranda Iglesias, Jessica
Lavedán, Ana
Paraíso Pueyo, Elena
Pascual, Alexandra
Botigué, Teresa
The aim of this critical review was to clarify recommended fluid intake for older people. A literature search of published articles and guidelines on fluid intake recommendations until April 2020 was carried out using PUBMED, Scopus, Cochrane, and Google Scholar. In this review, we focused on people over 65 years old at di erent care levels. The results show that the mean fluid intake ranges between 311 and 2390 mL/day. However, it is di cult to know whether this corresponds to the real pattern of fluid intake, due to the variability of data collection methods. With respect to the recommendations, most international organizations do not take into consideration the physiology of ageing or the health problems associated with an older population. In conclusions, we recommend to follow the guideline of the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Food Safety Authority (EFSA). ESPEN is the only guideline which takes into account age. It is also based on EFSA recommendations. This authority takes into consideration all fluids consumed (ranging from food to fluids). If it is known that around 20% of all fluids consumed come from food, the result would e ectively be that the EFSA recommends the same as the ESPEN guidelines: 1.6 L/day for females and 2.0 L/day for males. The findings could help raise the awareness of professionals in the sector with respect to the required fluid intake of the elderly and, in this way, contribute to avoiding the consequences of dehydration.
2020-12-10T13:18:01Z
2020-12-10T13:18:01Z
2020-12-10T13:18:01Z
2020-11-04
info:eu-repo/semantics/article
https://doi.org/10.3390/nu12113383
030577
2072-6643
http://hdl.handle.net/10459.1/70040
eng
Reproducció del document publicat a: https://doi.org/10.3390/nu12113383
Nutrients, 2020, vol. 12, núm. 11, p. 3383
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es
cc-by (c) Masot Ariño, Olga et al., 2020
MDPI
oai:repositori.udl.cat:10459.1/648352018-10-09T09:43:14Zcom_10459.1_237com_10459.1_2col_10459.1_354
Concordancia entre los antecedentes de vacunación antigripal referidos por las gestantes en Cataluña y los registrados en la historia clínica
Torres Puig-gros, Joan
Alzuria Alós, Rosa Mar
Cobertura de vacunación
Vacuna antigripal
Mujeres embarazadas
Registros vacunales
Fundamentos. En ocasiones y cuando no se dispone de un registro, la vacunación antigripal (VAG) se fundamenta en los antecedentes vacunales referidos por los ciudadanos. Cuando existe la posibilidad de comparar ambas
fuentes de información, a veces se han observado discrepancias entre las mismas. Los objetivos de este estudio fueron: conocer la cobertura de VAG en gestantes tanto referida como registrada en la historia clínica, determinar la concordancia entre ambas fuentes de información y cuantificar las oportunidades
perdidas de VAG debidas a los errores en la verbalización.
Método. De junio a septiembre después de las campañas de VAG 2013/2014 y 2014/2015 se aplicó una encuesta transversal a una muestra aleatoria de 657 gestantes atendidas en siete ASSIR (Centros Públicos de Atención Sexual y Reproductiva) de Cataluña. Se recogieron los antecedentes
de VAG referidos por las gestantes y los del registro de vacunaciones de la historia clínica informatizada. Se calcularon la cobertura vacunal para cada fuente de información, la concordancia entre ambas (índice Kappa) y la proporción de gestantes que manifestaron haber recibido la VAG sin haberla recibido. Este indicador se analizó según las distintas variables comparándose
con la globalidad a través de la prueba de Ji cuadrado. El nivel significación estadística aceptado fue de p< 0,05.
Resultados. La cobertura vacunal referida fue del 22,2% (IC 95%: 19,0%-25,4%) y del 15,4% (IC 95%: 12,6%-18,2%) según el registro de vacunaciones (p=0,0019). A pesar de la buena concordancia entre ambas fuentes (Kappa=0,738), una de cada tres gestantes que manifestaron estar vacunadas no lo estaba según el registro. La menor concordancia y las oportunidades
perdidas de VAG se produjeron en los estratos sociales altos, a edades fértiles intermedias y cuando se tenían conocimientos y experiencias previas de VAG.
Conclusiones. La cobertura de VAG en gestantes continua siendo baja. A pesar de la buena concordancia entre ambas fuentes de información, una de cada tres no vacunadas cree estarlo, pudiendo perder una oportunidad de vacunación.
Background. Sometimes and when a registry is not available, influenza vaccination (IV) is based on vaccination records reported by citizens. When the opportunity of comparing both information sources exists, sometimes, discrepancies between both have been observed. The objectives of this study are: to know the IV coverage in pregnant women (both referred and recorded in the clinical history), to determine the concordance between both sources of information and to quantify the lost opportunities of IV due to errors in verbalization.
Method. From June to September after the IV campaigns 2013/2014 and 2014/2015, a cross-sectional survey was carried out to a random sample of 657 pregnant women assisted in seven ASSIR (Public Centers for Sexual and Reproductive Care) in Catalonia. The history of IV referred by the pregnant
women and those of the vaccination record of the computerized clinical history were collected. Vaccination coverage was calculated for each source of information, it was also calculated the concordance between both (Kappa index) and the proportion of pregnant women who reported receiving the IV without having received it. This indicator was analyzed according to the different variables compared to globality through the Chi-square test. The accepted statistical significance level was p <0.05.
Results. The referred vaccination coverage was 22.2% (95% CI: 19.0% -25.4%) and 15.4% (95% CI: 12.6% -18.2%) according to the vaccination record (p = 0.0019). Despite the good concordance between both sources (Kappa = 0.738), one out of every three pregnant women who said they were vaccinated was not according to the registry. The lower concordance and the lost opportunities of IV occurred in the upper social strata, at intermediate fertile ages and when there was previous knowledge and experience of IV.
Conclusions. The coverage of IV in pregnant women continues to be low. In spite of the good concordance between both sources of information, one out of three unvaccinated believe that they have been vaccinated, as result they can lose a vaccination opportunity.
2018-10-08T08:47:02Z
2018-10-08T08:47:02Z
2018-10-08T08:47:02Z
2018
info:eu-repo/semantics/article
026800
1135-5727
http://hdl.handle.net/10459.1/64835
spa
Reproducció del document publicat a https://medes.com/publication/134484
Revista Española de Salud Pública, 2018, vol. 92, núm 1, p. e1-e6
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) Joan Torres Puig-gros et al., 2018
Ministerio de Sanidad y Consumo
oai:repositori.udl.cat:10459.1/711472021-04-27T00:20:45Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Obstructive sleep apnea: in search of precision
Sánchez de la Torre, Manuel
Gozal, David
Sleep apnea
OSA
CPAP
Precision medicine
Personalized medicine
Sleep health
Introduction: Obstructive sleep apnea (OSA) is a highly prevalent condition that is viewed as a major global health concern, while affecting approximately 10% of the middle-aged population. OSA is a chronic disease that has been conclusively associated with poor quality of life, cognitive impairments and mood alterations, enhanced cardiovascular and metabolic morbidity, thereby leading to marked increments in healthcare costs.
Areas covered: The authors have reviewed the current evidence on the pathophysiology of OSA and its consequences, the heterogeneity of its phenotypic expression, the current therapeutic applications and their efficacy, and the implications for diagnosis, treatment and follow-up strategies in the context of the clinical management of OSA.
Expert commentary: Personalized medicine in OSA identifies different needs and approaches: (i) phenotyping and defining the different and segregated clusters of OSA patients whose recognition may improve prognostic predictions and guide therapeutic strategies; (ii) to further characterize and predict the impact of OSA and its treatment, particularly revolving around mortality and the processes closely related to ageing (cardiovascular diseases, cancer and neurocognitive diseases); (iii) the introduction of new technologies including telemedicine that have shown promise in the implementation of personalized medicine approaches.
2021-04-26T11:39:56Z
2021-04-26T11:39:56Z
2021-04-26T11:39:56Z
2017
info:eu-repo/semantics/article
https://doi.org/10.1080/23808993.2017.1361319
029826
2380-8993 (electrònic)
http://hdl.handle.net/10459.1/71147
eng
Versió postprint del document publicat a: https://doi.org/10.1080/23808993.2017.1361319
Expert Review of Precision Medicine and Drug Development, 2017, vol. 2, núm. 4, p. 217-228
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc/4.0/
cc-by-nc (c) Sánchez de la Torre et al., 2017
Taylor & Francis
oai:repositori.udl.cat:10459.1/4632552023-06-20T13:22:52Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature Review
El Arab, Rabie Adel
Sánchez de la Torre, Manuel
Valenzuela Pascual, Francesc
Rubinat, Esther
Blanco Blanco, Joan
Rubí Carnacea, Francesc
Martínez Navarro, Oriol
Mediano, Olga
Gea Sánchez, Montserrat
Obstructive sleep apnoea
Adult
Paediatric
Chronic diseases
Clinical care
Clinical management
Personalised medicine
Precision medicine
Nursing care
Sleep nurse
Background: obstructive sleep apnoea is a common and burdensome condition, characterised by obstruction of the airway during sleep at the level of the pharynx, which may occur with symptoms or without any symptoms. The most common place for obstructive sleep apnoea management is in specialised sleep units. Aim: to identify what is known about nurses’ role in comprehensive management of obstructive sleep apnoea, and to determine the effectiveness of nurse-led interventions as well as the cost effectiveness of management of obstructive sleep apnoea in primary care settings. Methods: a scoping review was carried out by searching PubMed/Medline, CINAHL, Scopus, Cochrane Database of Systematic Reviews and ScienceDirect. The study findings were synthesised using a thematic analysis approach. Results: In this review, 12 articles were included, and three key themes emerged, namely the role of nurses in the diagnosis of obstructive sleep apnoea, role of nurses in the follow up and support of obstructive sleep apnoea patients, and role of nurses in the management of obstructive sleep apnoea in primary care and the cost-effectiveness. Conclusion: Nurses can play a critical role in obstructive sleep apnoea. There are many ways in which nurses can contribute, including screening, assessment, diagnosis, promotion of therapy adherence, and following up with patients, including monitoring for any side effects associated with the CPAP machine, such as irritation of the face. Additionally, nurses can provide patient education and coordinate with other health care providers. Nursing interventions such as patient education have been demonstrated to be highly effective in promoting adherence to PAP therapy in both sleep units and primary care settings. Based on the findings of this review, the primary care model is more cost-effective than the sleep unit model in the management of obstructive sleep apnoea patients. The role of nurses in managing Obstructive Sleep Apnoea in both paediatric and adult populations shares similarities, but also includes differences that should be carefully considered and explored. In this review, one article only explored the role of nurses in paediatric OSA care. Thus, there is a need to identify the potential role of nursing in the comprehensive management of paediatric obstructive sleep apnoea, as well as to explore alternative cost-effective approaches that include primary care settings.
2023-04-28T08:40:41Z
2023-04-28T08:40:41Z
2023-04-28T08:40:41Z
2023
info:eu-repo/semantics/article
https://doi.org/10.3390/app13063516
033080
2076-3417
https://repositori.udl.cat/handle/10459.1/463255
eng
Reproducció del document publicat a: https://doi.org/10.3390/app13063516
Applied Sciences, 2023, vol. 13, núm. 6
https://creativecommons.org/licenses/by/4.0
https://creativecommons.org/licenses/by/4.0
cc-by (c) authors, 2023
MDPI
oai:repositori.udl.cat:10459.1/4631162024-01-17T09:37:10Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Health and social needs of asylum seekers and Ukrainian refugees in Lithuania: A mixed-method protocol
El Arab, Rabie Adel
Urbanavice, Rita
Jakavonyte-Akstiniene, Agne
Skvarcevskaja, Marija
Austys, Donatas
Mateos, José Tomás
Briones Vozmediano, Erica Tula
Rubinat, Esther
Istomina, Natalja
Healthcare services
Social needs
Lithuania
Asylum seekers
Refugees
Refugees, asylum seekers, and migrants often do not end up in the places they expected. Because of the pandemic impacts, their exposure to COVID-19 may be increased as a result of crowded camps and detention centers. A total of 4,537 undocumented migrants entered Lithuania <i>via</i> Belarus from June 2021 to November 30, 2022. In the period 24 February 2022 to 30 November 2022, Lithuania's Immigration Department registered 71,386 Ukrainian refugees. This study investigates the healthcare and social needs of recent asylum seekers who have crossed the Belarusian border and Ukrainian refugees in Lithuania. This is a study protocol for a mixed-methods study which will involve qualitative interviews with asylum seekers who crossed from Belarus in June 2021 and Ukrainian refugees. During a quantitative phase, refugees and asylum seekers will be asked to complete questionnaires. In this study, validated questionnaires will be used, including the Hopkins Symptom Checklist (HSCL-25), the Harvard Trauma Questionnaire (HTQ), and the Short Form 36 (SF-36). Participants will also be asked to self-report sociodemographic information. As a result of the findings of this study, it is possible to provide guidelines for improving access to health care services, including prevention (i.e., vaccination programs) and treatment of chronic and acute illnesses, through primary and secondary healthcare delivery, thereby reducing negative health outcomes. This study may shed light on the social needs of asylum seekers and refugees in Lithuania. In addition, this may provide insight into how they are integrating into the community, such as what their employment and educational prospects are.
2023-03-28T10:55:49Z
2023-03-28T10:55:49Z
2023-03-28T10:55:49Z
2022
info:eu-repo/semantics/article
https://doi.org/10.3389/fpubh.2022.1025446
033139
2296-2565
https://repositori.udl.cat/handle/10459.1/463116
eng
Reproducció del document publicat a https://doi.org/10.3389/fpubh.2022.1025446
Frontiers In Public Health, 2022, vol. 10, p. 1-8
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) El Arab et al., 2023
Attribution 4.0 International
Frontiers
Frontiers in public health
oai:repositori.udl.cat:10459.1/714992022-05-18T00:08:42Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_56964col_10459.1_354col_10459.1_59998col_10459.1_57662
Burnout and job satisfaction among nurses in three Spanish regions
Acea-López, Lorena
Pastor-Bravo, María del Mar
Rubinat, Esther
Bellon, Filip
Blanco Blanco, Joan
Gea Sánchez, Montserrat
Briones Vozmediano, Erica Tula
Nursing
Job satisfaction
Burnout syndrome
Surveys
Questionnaires
Spain
Aims: To determine the levels of job satisfaction and burnout syndrome and related factors among nurses in three Spanish regions. Background: The nursing profession involves high work stress due to emotional involvement, workload, and available resources. Methods: Descriptive multicentre cross-sectional study. Sociodemographic and migration data were collected and participants completed the Job Satisfaction Questionnaire S20/23 and Maslach Burnout Inventory. The data was analyzed using descriptive statistical methods using the program SPSS. Results: The sample included 228 nurses (187 women and 41 men,), with a mean age of 37.11±10.87. Reported job satisfaction was medium-high. Overall values were low in emotional fatigue and medium in depersonalization and personal fulfillment. In terms of migration, 21.59% of the participants had already moved to other Spanish regions or another country, while 18.58% had the intention of doing so. Conclusion: Nurses with a temporary contract showed a high burnout rate, and high levels of emotional fatigue, depersonalization, and lack of personal fulfillment. Implications for nursing management: Strategies are needed to improve working and contractual conditions -such as enhancing teamwork, management, and leadership skills in nurses-, achieving internal promotion, having higher participation in decision-making, and a better balance of power between health institution managers and health professionals.
2022-05-17T22:08:42Z
2022-05-17T22:08:42Z
2022-05-17T22:08:42Z
2021-05-15
info:eu-repo/semantics/article
https://doi.org/10.1111/jonm.13376
031318
0966-0429
http://hdl.handle.net/10459.1/71499
eng
Versió postprint del document publicat a: https://doi.org/10.1111/jonm.13376
Journal of Nursing Management, 2021, vol. 29, num. 7, p. 2208-2215
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) The Authors. Journal of Nursing Management published by John Wiley & Sons, 2021
Wiley
oai:repositori.udl.cat:10459.1/687932020-05-19T00:11:18Zcom_10459.1_237com_10459.1_2col_10459.1_354
Ressano García. Villa y frontera
Alconada Romero, Álvaro
Frontera
Movimiento
Comercio
Tránsito
Explotación
Intercambio
Border
Movement
Commerce
Transit
Exploitation
Exchange
A lo largo del presente artículo nos adentraremos en la vida de Ressano García, una villa fronteriza marcada por el histórico y constante movimiento entre el sur de Mozambique y el este de la República Sudafricana. Aquí la frontera se muestra como lugar de oportunidades y de explotación, de sueños y frustraciones, división y de contacto, al que llegan personas de diferentes edades y condiciones persiguiendo diversos propósitos. Ya sea su objetivo asentarse o cruzar la frontera, se integran en la dinámica que marca la vida local, que se conforma entorno a este movimiento, siendo Ressano un hito para las poblaciones ligadas al mismo.
The present article introduces the reader in Ressano García, a border village identified by the historic and continuous movement between Southern Mozambique and the East of the South African Republic. Here the border is both a place of opportunities and a place of exploitation, of dreams and frustration, of division and contact, where people with different ages and conditions arrive pursuing diverse purposes. If they are looking for a settlement or trying to cross the border, they will be part of the dynamic that rules the local life, that is built around this movement in which Ressano becomes a milestone for the populations linked to this dynamism.
2020-05-18T07:35:19Z
2020-05-18T07:35:19Z
2020-05-18T07:35:19Z
2013
info:eu-repo/semantics/article
1130-5703
http://hdl.handle.net/10459.1/68793
spa
Reproducció del document publicat a : http://www.studiaafricana.info/index.php/studia/article/view/57
Studia Africana, 2013, núm. 24, p. 107-116
info:eu-repo/semantics/openAccess
(c) Alconada, 2013
ARDA (Agrupament per a la Recerca i Docència d’Àfrica)
oai:repositori.udl.cat:10459.1/699352020-11-24T00:11:03Zcom_10459.1_237com_10459.1_2col_10459.1_354
User preferences and persona design for an mhealth intervention to support adherence to cardiovascular disease medication in Singapore: a multi-method study
Haldane, Victoria
Koh, Joel Jun Kai
Srivastava, Aastha
Teo, Krichelle Wei Qi
Tan, Yao Guo
Cheng, Rui Xiang
Yap, Yi Cheng
Ong, Pei-Shi
van Dam, Rob M.
Foo, Jie Min
Müller-Riemenschneider, Falk
Koh, Gerald C. H.
Foong, Pin Sym
Perel, Pablo
Legido-Quigley, Helena
Personas
Biopsychosocial personas
Qualitative
ASCVD
Adherence
Patient perspectives
Background: The use of mobile health (mHealth) has gained popularity globally, including for its use in a variety of health interventions, particularly through short message service (SMS) text messaging. However, there are challenges to the use of mHealth, particularly among older users who have a large heterogeneity in usability and accessibility barriers when using technology. Objective: In order to better understand and conceptualize the diversity of users and give insight into their particular needs, we turned to persona creation. Personas are user archetypes created through data generated from multi-method inquiry with actual target users. Personas are an appropriate yet largely underutilized component of current mHealth research. Methods: Leveraging data from a multi-method study conducted in Singapore with an ethnically diverse population including Chinese, Malay, and Indian participants, we used a proforma to analyze data from the qualitative component (ie, 20 in-depth interviews) and quantitative component (ie, 100 interviewer-guided surveys). We then identified key characteristics, including technology use and preferences as well as adherence factors, to synthesize five personas reflective of persons over the age of 40 years in Singapore with atherosclerotic cardiovascular disease (ASCVD) or ASCVD risk factors, such as hypertension. Results: We present five personas typologized as (1) The Quiet Analog, (2) The Busy Grandparent, (3) The Socializer, (4) The Newly Diagnosed, and (5) The Hard-to-Reach. We report on four key characteristics: health care access, medication adherence, mobile phone technology usage (ie, ownership, access, and utilization), and interest in mHealth. Finally, we provide insights into how these personas may be used in the design and implementation of an mHealth intervention. Our work demonstrates how multi-method data can create biopsychosocial personas that can be used to explore and address the diversity in behaviors, preferences, and needs in user groups. Conclusions: With wider adoption of mHealth, it is important that we consider user-centered design techniques and design thinking in order to create meaningful, patient-centered interventions for adherence to medications. Future research in this area should include greater exploration of how these five personas can be used to better understand how and when is best to deliver mHealth interventions in Singapore and beyond.
2020-11-23T13:44:11Z
2020-11-23T13:44:11Z
2020-11-23T13:44:11Z
2019
info:eu-repo/semantics/article
https://doi.org/10.2196/10465
029558
2291-5222
http://hdl.handle.net/10459.1/69935
eng
Reproducció del document publicat a https://doi.org/10.2196/10465
Jmir Mhealth and Uhealth, 2019, vol. 7, num. 5, p. 1-15
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Haldane et al., 2019
JMIR Publications
oai:repositori.udl.cat:10459.1/4645002023-11-14T03:00:32Zcom_10459.1_237com_10459.1_2col_10459.1_354col_10459.1_44504
Diminishing benefits of urban living for children and adolescents’ growth and development
NCD Risk Factor Collaboration ( NCD-RisC)
Developing world
Nutrition
Paediatric research
Public health
Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1,2,3,4,5,6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified.
2023-11-13T13:23:50Z
2023-11-13T13:23:50Z
2023-11-13T13:23:50Z
2023
info:eu-repo/semantics/article
https://doi.org/10.1038/s41586-023-05772-8
1476-4687
https://repositori.udl.cat/handle/10459.1/464500
eng
Reproducció del document publicat a https://doi.org/10.1038/s41586-023-05772-8
Nature, 2023, vol. 615, p. 874-883
info:eu-repo/grantAgreement/EC/H2020/774548/EU/STOP
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) NCD Risk Factor Collaboration ( NCD-RisC), 2023
Attribution 4.0 International
Nature Research
oai:repositori.udl.cat:10459.1/700382023-02-03T08:32:19Zcom_10459.1_237com_10459.1_2col_10459.1_354
Gender equality and the global gender gap in life expectancy: an exploratory analysis of 152 countries
Mateos, José Tomás
Fernández-Sáez, José
Marcos-Marcos, Jorge
Álvarez Dardet, Carlos
Bambra, Clare
Popay, Jennie
Baral, Kedar
Musolino, Connie
Baum, Fran
Life Expectancy
Gender Gap
Gender Equality
When looking at life expectancy (LE) by sex, women live longer than men in all countries. Biological factors alone do not explain gender differences in LE, and examining structural differences may help illuminate other explanatory factors. The aim of this research is to analyse the influence of gender inequality on the gender gap in LE globally. We have carried out a regression analysis between the gender gap in relativised LE and the UN Gender Inequality Index (GII), with a sensitivity analysis conducted for its three dimensions, stratified by the six World Health Organization (WHO) regions. We adjusted the model by taking into consideration gross national income (GNI), democratic status and rural population. The results indicated a positive association for the European region (ß=0.184) and the Americas (ß=0.136) in our adjusted model. Conversely, for the African region, the relations between gender equality and the LE gender gap were found to be negative (ß=-0.125). The findings suggest that in the WHO European region and the Americas, greater gender equality leads to a narrowing of the gender LE gap, while it has a contrary relationship in Africa. We suggest that this could be because only higher scores in the GII between men and women show health benefits.
2020-12-10T12:29:41Z
2020-12-10T12:29:41Z
2020-12-10T12:29:41Z
2020-10-14
info:eu-repo/semantics/article
https://doi.org/10.34172/IJHPM.2020.192
030642
2322-5939
http://hdl.handle.net/10459.1/70038
eng
Reproducció del document publicat a https://doi.org/10.34172/IJHPM.2020.192
International Journal of Health Policy And Management, 2022, vol. 11, num. 6, p. 740-746
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0
cc-by (c) Mateos-García, José Tomás et al., 2020
Kerman University of Medical Sciences
oai:repositori.udl.cat:10459.1/4634282024-03-14T13:11:50Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_240col_10459.1_354col_10459.1_59998col_10459.1_333
Caffeine and the Risk of Diabetic Retinopathy in Type 2 Diabetes Mellitus: Findings from Clinical and Experimental Studies
Alcubierre Calvo, Núria
Granado Casas, Minerva
Bogdanov, Patricia
Hernández, Cristina
Ramos, Hugo
Castelblanco Echavarría, Esmeralda
Real, Jordi
Rubinat, Esther
Traveset Maeso, Alicia
Hernández García, Marta
Jurjo Campo, Carmen
Vioque, Jesús
Navarrete Muñoz, Eva María
Simó, Rafael
Mauricio Puente, Dídac
Type 2 diabetes
Diabetic retinopathy
Caffeine intake
Coffee consumption
Tea consumption
Retinal ganglion cell layer
The aim of this study was to assess the potential benefits of caffeine intake in protecting against the development of diabetic retinopathy (DR) in subjects with type 2 diabetes (T2D). Furthermore, we tested the effect of topical administration of caffeine on the early stages of DR in an experimental model of DR. In the cross-sectional study, a total of 144 subjects with DR and 147 individuals without DR were assessed. DR was assessed by an experienced ophthalmologist. A validated food frequency questionnaire (FFQ) was administered. In the experimental model, a total of 20 mice were included. One drop (5 μL) of caffeine (5 mg/mL) (n = 10) or vehicle (5 μL PBS, pH 7.4) (n = 10) was randomly administered directly onto the superior corneal surface twice daily for two weeks in each eye. Glial activation and retinal vascular permeability were assessed using standard methods. In the cross-sectional study in humans, the adjusted-multivariable model showed that a moderate and high (Q2 and Q4) caffeine intake had a protective effect of DR (odds ratio (95% confidence interval) = 0.35 (0.16–0.78); p = 0.011 and 0.35 (0.16–0.77); p = 0.010, respectively). In the experimental model, the administration of caffeine did not improve either reactive gliosis or retinal vascular permeability. Our results suggest a dose-dependent protective effect of caffeine in the development of DR, while the potential benefits of antioxidants in coffee and tea should also be considered. Further research is needed to establish the benefits and mechanisms of caffeinated beverages in the development of DR.
2023-05-31T11:40:43Z
2023-05-31T11:40:43Z
2023-05-31T11:40:43Z
2023
info:eu-repo/semantics/article
https://doi.org/10.3390/nu15051169
034085
2072-6643
https://repositori.udl.cat/handle/10459.1/463428
eng
Reproducció del document publicat a: https://doi.org/10.3390/nu15051169
Nutrients, vol. 15, núm. 5, 2023
http://creativecommons.org/licenses/by/4.0/
Attribution 4.0 International
MDPI
oai:repositori.udl.cat:10459.1/4632392023-09-22T11:00:51Zcom_10459.1_237com_10459.1_2col_10459.1_354
Effects on Sleep Quality of Physical Exercise Programs in Older Adults: A Systematic Review and Meta-Analysis.
Solis Navarro, Lilian
Masot, Olga
Torres Castro, Rodrigo
Otto Yáñez, Matías
Fernández Jané, Carles
Solà Madurell, Mireia
Coda, Andrea
Cyrus Barker, Erika
Sitjà Rabert, Mercè
Pérez Bazán, Laura Mónica
Exercise
Obstructive sleep apnoea
Older adults
Sleep quality
Sleepiness
Background: Given the beneficial effects of exercise in different populations and the close relationship between healthy ageing and sleep quality, our objective was to determine if physical exercise delivered through a structured program improves sleep quality in older adults. Methods: Embase, PubMed/MEDLINE, Web of Science, and Cochrane Register of Clinical Trials (CENTRAL) were searched to 15 January 2023. Studies that applied physical exercise programs in older adults were reviewed. Two independent reviewers analysed the studies, extracted the data, and assessed the quality of evidence. Results: Of the 2599 reports returned by the initial search, 13 articles reporting on 2612 patients were included in the data synthesis. The articles used interventions based on yoga (n = 5), multicomponent exercise (n = 3), walking (n = 2), cycling (n = 1), pilates (n = 1), elastic bands (n = 1), and healthy beat acupunch (n = 1). In the intervention group, we found significant improvement in Pittsburgh sleep quality index of −2.49 points (95% CI −3.84 to −1.14) in comparison to the control group (p = 0.0003) and sleep efficiency measured with objective instruments (MD 1.18%, 95% CI 0.86 to 1.50%, p < 0.0001). Conclusion: Our results found that physical exercise programs in older adults improve sleep quality and efficiency measured with objective instruments.
2023-04-25T13:53:56Z
2023-04-25T13:53:56Z
2023-04-25T13:53:56Z
2023-03-22T23:00:00Z
info:eu-repo/semantics/article
https://doi.org/10.3390/ clockssleep5020014
033141
2624-5175
https://repositori.udl.cat/handle/10459.1/463239
en
Reproducció del document publicat a https://doi.org/10.3390/ clockssleep5020014
Clocks & sleep, 2023, vol. 5, núm. 2, p. 152-166
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Solis et al., 2023
Attribution 4.0 International
MDPI
oai:repositori.udl.cat:10459.1/4632252023-04-21T03:00:38Zcom_10459.1_237com_10459.1_2com_10459.1_66064col_10459.1_354col_10459.1_66068
Work-family conflict, wellbeing and strain: Sex differences and children at home
Blanch Plana, Angel
Solé Cases, Silvia
Work family conflict
Wellbeing
Strain
Sex differences
Children
The work and family interface elicits work family conflict (WFC) leading to positive
and negative outcomes. Sex is a central element in WFC, with a wealth of studies
reporting either sex differences or similarities. The presence of children at home,
however, is a rather understudied moderator. This study aimed to contrast whether two
main components of WFC, work interference with family (WIF) and family
interference with work (FIW) associated differentially with wellbeing and strain
depending on sex or children. There were data from 762 Spanish individuals (455
females) in dual-earner families. A structural equation model with four latent variables
(WIF, FIW, wellbeing, and strain) was contrasted across two moderators, sex and
children. Males and females endured a similar association between WIF and FIW with
wellbeing and strain compared with workers with children. Childless workers
experienced lower associations between FIW with wellbeing and strain compared with
workers with children. Children at home rather than sex alone elicit stronger links of
WFC with wellbeing and strain. Examining the presence of children at home, including
children ages, should be conducted regularly in WFC research.
2023-04-20T10:30:33Z
2023-04-20T10:30:33Z
2023-04-20T10:30:33Z
2023
info:eu-repo/semantics/article
https://doi.org/10.1002/ijop.12890
033161
1464-066X
https://repositori.udl.cat/handle/10459.1/463225
eng
Versió postprint del document publicat a https://doi.org/10.1002/ijop.12890
International Journal of Psychology, 2023, vol. 58, núm. 2, p. 116-123
info:eu-repo/semantics/embargoedAccess
(c) Wiley, 2023
Wiley
oai:repositori.udl.cat:10459.1/695392021-09-10T13:17:29Zcom_10459.1_237com_10459.1_2col_10459.1_354
Uncovering the devaluation of nursing home staff during COVID-19: Are we fuelling the next health care crisis?
McGilton, Katherine S.
Escrig-Pinol, Astrid
Gordon, Adam
Chu, Charlene H.
Zúñiga, Franziska
Gea Sánchez, Montserrat
Boscart, Veronique
Meyer, Julienne
Corazzini, Kirsten N.
Ferrari Jacinto, Alessandro
Spilsbury, Karen
Backman, Annica
Scales, Kezia
Fagertun, Anette
Wu, Bei
Edvardsson, David
Lepore, Michael J.
Leung, Angela Y.M.
Siegel, Elena O.
Noguchi-Watanabe, Maiko
Wang, Jing
Bowers, Barbara
2021-06-11T22:30:06Z
2021-06-11T22:30:06Z
2021-06-11T22:30:06Z
2020-06-11
info:eu-repo/semantics/article
https://doi.org/10.1016/j.jamda.2020.06.010
030252
1525-8610
http://hdl.handle.net/10459.1/69539
eng
Versió postprint del document publicat a: https://doi.org/10.1016/j.jamda.2020.06.010
Journal of The American Medical Directors Association, 2020, vol. 21, núm. 7, p. 962-965
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/3.0/es
cc-by-nc-nd (c) The American Medical Directors Association, 2020
Elsevier
oai:repositori.udl.cat:10459.1/647512020-02-28T14:36:22Zcom_10459.1_237com_10459.1_2col_10459.1_354
Fear Avoidance Beliefs and Risk of Long-Term Sickness Absence: Prospective Cohort Study among Workers with Musculoskeletal Pain
Jay, Kenneth
Thorsen, Sannie Versten
Sundstrup, Emil
Aiguadé Aiguadé, Ramon
Casaña, Jose
Calatayud, Joaquin
Andersen, Lars Louis
pain
fisioterapia
Salud laboral
Background and Objective. Musculoskeletal pain is common in the population. Negative beliefs about musculoskeletal pain and physical activity may lead to avoidance behavior resulting in absence from work. The present study investigates the influence of fear avoidance beliefs on long-term sickness absence. Methods. Workers of the general working population with musculoskeletal pain (low back, neck/shoulder, and/or arm/hand pain; n = 8319) from the Danish Work Environment Cohort Study were included. Long-term sickness absence data were obtained from the Danish Register for Evaluation and Marginalization (DREAM). Time-to-event analyses (cox regression) controlled for various confounders estimated the association between fear avoidance beliefs (very low, low, moderate [reference category], high, and very high) at baseline and long-term sickness absence (LTSA; ≥6 consecutive weeks) during a 2-year follow-up. Results. During the 2-year follow-up, 10.2% of the workers experienced long-term sickness absence. In the fully adjusted model, very high-level fear avoidance increased the risk of LTSA with hazard ratio (HR) of 1.48 (95% CI 1.15-1.90). Similar results were seen analyses stratified for occupational physical activity, i.e., sedentary workers (HR 1.72 (95% CI 1.04-2.83)) and physically active workers (HR 1.48 (95% CI 1.10-2.01)). Conclusion. A very high level of fear avoidance is a risk factor for long-term sickness absence among workers with musculoskeletal pain regardless of the level of occupational physical activity. Future interventions should target fear avoidance beliefs through information and campaigns about the benefits of staying active when having musculoskeletal pain.
2018-09-24T07:46:31Z
2018-09-24T07:46:31Z
2018-09-24T07:46:31Z
2018-09-02
info:eu-repo/semantics/article
https://doi.org/10.1155/2018/8347120
027343
2090-1550
http://hdl.handle.net/10459.1/64751
eng
Reproducció del document publicat a https://doi.org/10.1155/2018/8347120
Pain research and treatment, 2018, vol. 2018
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Kenneth Jay et al, 2018
Hindawi Publishing Corporation
oai:repositori.udl.cat:10459.1/595652020-12-17T15:05:49Zcom_10459.1_237com_10459.1_2col_10459.1_354
La fragilidad como predictora de mortalidad en una cohorte de edad avanzada
Escobar Bravo, Miguel Ángel
Jürschik, Pilar
Botigué, Teresa
Nuin Orrio, Carmen
Anciano
Mortalidad
Ancianos frágiles
Objetivo: Determinar la asociación entre los estados de fragilidad de las personas mayores y la mortalidaden la ciudad de Lleida durante el período 2009-2012.Método: Estudio longitudinal prospectivo realizado con sujetos que viven en la ciudad de Lleida de75 a˜nos o más de edad con tarjeta sanitaria y residentes en viviendas familiares. La fase transversalse realizó entre los a˜nos 2009 y 2010, y la fase longitudinal a los 2 a˜nos (mediana 25 meses).Resultados: La supervivencia fue peor para los frágiles frente a los prefrágiles y los no frágiles (logrank = 10,56; p = 0,005). Además de la fragilidad (hazard ratio [HR] = 4,95; intervalo de confianza del 95%[IC95%]: 1,71-14,31), la edad también fue significativa (HR = 2,87; IC95%: 1,02-8,26).Conclusión: En una cohorte prospectiva de mayores de 75 a˜nos que viven en su propio domicilio en laciudad de Lleida, el mayor nivel de fragilidad está asociado con un mayor riesgo de muerte a los 2 a˜nos.
2017-05-03T09:20:46Z
2017-05-03T09:20:46Z
2017-05-03T09:20:46Z
2014
article
https://doi.org/10.1016/j.gaceta.2014.06.005
021709
0213-9111
http://hdl.handle.net/10459.1/59565
spa
Reproducció del document publicat a https://doi.org/10.1016/j.gaceta.2014.06.005
Gaceta Sanitaria, 2014, vol. 28, núm. 6, p. 489–491
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) Escobar Bravo, et al. 2014
Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)
Elsevier
oai:repositori.udl.cat:10459.1/485882022-11-29T14:48:01Zcom_10459.1_237com_10459.1_2com_10459.1_240col_10459.1_354col_10459.1_333col_10459.1_49291
Evaluation of a family intervention programme for the treatment of overweight and obese children (Nereu Programme): a randomized clinical trial study protocol
Serra Payà, Noemí
Ensenyat Solé, Assumpta
Real, Jordi
Castro Viñuales, Ivan
Zapata Rojas, Amalia
Galindo Ortego, Gisela
Solé Mir, Eduard
Bosch Muñoz, Jordi
Mur, José María
Teixidó Armengol, Conxita
Background: Obesity is mainly attributed to environmental factors. In developed countries, the time spent on physical activity tasks is decreasing, whereas sedentary behaviour patterns are increasing. The purpose of the intervention is to evaluate the effectiveness of an intensive family-based behavioural multicomponent intervention (Nereu programme) and compared it to counselling intervention such as a health centre intervention programme for the management of children"s obesity. Methods/Design: The study design is a randomized controlled multicenter clinical trial using two types of interventions: Nereu and Counselling. The Nereu programme is an 8-month intensive family-based multi-component behavioural intervention. This programme is based on a multidisciplinary intervention consisting of 4 components: physical activity sessions for children, family theoretical and practical sessions for parents, behaviour strategy sessions involving both, parents and children, and lastly, weekend extra activities for all. Counselling is offered to the family in the form of a monthly physical health and eating habits session. Participants will be recruited according the following criteria: 6 to 12 year-old-children, referred from their paediatricians due to overweight or obesity according the International Obesity Task Force criteria and with a sedentary profile (less than 2 hours per week of physical activity), they must live in or near the municipality of Lleida (Spain) and their healthcare paediatric unit must have previously accepted to cooperate with this study. The following variables will be evaluated: a) cardiovascular risk factors (anthropometric parameters, blood test and blood pressure), b) sedentary and physical activity behaviour and dietary intake, c) psychological aspects d) health related quality of life (HRQOL), e) cost-effectiveness of the intervention in relation to HRQOL. These variables will be then be evaluated 4 times longitudinally: at baseline, at the end of the intervention (8 months later), 6 and 12 months after the intervention. We have considered necessary to recruit 100 children and divide them in 2 groups of 50 to detect the differences between the groups. Discussion: This trial will provide new evidence for the long-term effects of childhood obesity management, as well as help to know the impact of the present intervention as a health intervention tool for healthcare centres. Trial registration: ClinicalTrials.gov, NCT01878994
2015-07-14T11:23:49Z
2015-07-14T11:23:49Z
2015-07-14T11:23:49Z
2013
info:eu-repo/semantics/article
https://doi.org/10.1186/1471-2458-13-1000
022410
1471-2458
http://hdl.handle.net/10459.1/48588
eng
Reproducció del document publicat a: https://doi.org/10.1186/1471-2458-13-1000
Bmc Public Health, 2013, vol. 13, p. 1000
info:eu-repo/grantAgreement/MINECO//PI12%2F02220/ES/Evaluación de un programa de intervención familiar en población infantil con sobrepeso u obesidad en relación a la mejora de resultados antropométricos a largo plazo: Ensayo clínico aleatorio controlado/
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es
cc-by (c) Serra Payà, Noemí et al., 2013
BioMed Central
oai:repositori.udl.cat:10459.1/583962021-08-30T15:04:35Zcom_10459.1_237com_10459.1_2col_10459.1_354
Respuesta
Jürschik, Pilar
Botigué, Teresa
Nuin Orrio, Carmen
Lavedán, Ana
En contestacion a la carta al Editor publicada en esta revista por Martın-Sanchez et al., titulada «Malnutricion: un dominio mas de la fragilidad clınica», querıamos realizar algunas puntualizaciones. En el estudio previo realizado por nuestro equipo 1 se ponıa de manifiesto la clara asociacion entre el MNA y los criterios de fragilidad de Fried, y estamos de acuerdo con dichos autores en que, segun las investigaciones recientes, todavıa no se puede afirmar que las escalas MNA y MNA-SF podran ser utilizadas como herramientas diagnosticas de fragilidad clınica en la poblacion mayor que reside en la comunidad, ya que es un fenomeno muy poco estudiado.
2015
info:eu-repo/semantics/article
https://doi.org/10.1016/j.medcli.2015.01.013
023200
0025-7753
http://hdl.handle.net/10459.1/58396
spa
Reproducció del document publicat a: https://doi.org/10.1016/j.medcli.2015.01.013
Medicina Clinica, 2015, vol. 145, num. 3, p. 137
info:eu-repo/semantics/restrictedAccess
(c) Elsevier, 2015
Elsevier
oai:repositori.udl.cat:10459.1/732452022-03-11T00:14:46Zcom_10459.1_227com_10459.1_2com_10459.1_237com_10459.1_47453col_10459.1_314col_10459.1_354col_10459.1_59998col_10459.1_44504
Barriers and facilitators to the implementation of a personalized breast cancer screening program: Views of Spanish health professionals
Laza-Vásquez, Celmira
Hernández-Leal, María José
Carles Lavila, Misericordia
Pérez Lacasta, María José
Cruz Esteve, María Inés
Rué i Monné, Montserrat
Breast cancer
Personalized screening
Barriers
Facilitators
Health professionals
Abstract:This study explored the barriers and facilitators to the implementation of a risk-basedbreast cancer screening program from the point of view of Spanish health professionals. A cross-sectional study with 220 Spanish health professionals was designed. Data were collected in 2020 viaa web-based survey and included the advantages and disadvantages of risk-based screening andbarriers and facilitators for the implementation of the program. Descriptive statistics and Likert scaleresponses analyzed as category-ordered data were obtained. The risk-based screening was consideredimportant or very important to reduce breast cancer mortality and promote a more proactive role forwomen in breast cancer prevention, to increase coverage for women under 50 years, to promote abreast cancer prevention strategy for women at high risk, and to increase efficiency and effectiveness.Switching to a risk-based program from an age-based program was rated as important or veryimportant by 85% of participants. As barriers for implementation, risk communication, the workloadof health professionals, and limited human and financial resources were mentioned. Despite thebarriers, there is good acceptance, and it seems feasible, from the perspective of health professionals,to implement a risk-based breast cancer screening program in Spain. However, this poses a numberof organizational and resource challenges.
2022-03-10T10:54:06Z
2022-03-10T10:54:06Z
2022-03-10T10:54:06Z
2022
info:eu-repo/semantics/article
https://doi.org/10.3390/ijerph19031406
032032
1660-4601
http://hdl.handle.net/10459.1/73245
eng
Reproducció del document publicat a: https://doi.org/10.3390/ijerph19031406
International Journal Of Environmental Research And Public Health, 2022, vol. 19
info:eu-repo/grantAgreement/EC/H2020/713679/EU/MFP
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c)Authors, 2022
MDPI
oai:repositori.udl.cat:10459.1/4649192024-01-27T03:00:28Zcom_10459.1_237com_10459.1_2col_10459.1_354
Experiences from group basic body awareness therapy by patients suffering from fibromyalgia: A qualitative study
Bravo Navarro, Cristina
Skjaerven, Liv H.
Guitard Sein-Echaluce, Ma. Luisa
Catalan-Matamoros, Daniel
Body awareness
Movement awareness
Basic Body Awareness Therapy
Therapeutic group factors
Fibromyalgia
The aim of this study was to obtain a deeper understanding of how patients with fibromyalgia experienced movement awareness through a basic body awareness therapy group treatment program. A total of 19 participants with fibromyalgia diagnosis were interviewed individually and in groups. Data collection was done from three sources: (1) interviews from the Basic Body Awareness Rating Scale (BARS) part 2 at baseline, at end of treatment, as well as at 12 and 24 weeks follow up; (2) focus group discussions that took place at the end of each session, and at the end of treatment; and (3) an in-depth focus group. Giorgi's method was followed for data construction and analysis. The researchers conducted 57 individual interviews, 10 focus groups, and one in-depth focus group. The findings revealed the following categories: "creating a new relation to self"; "change the pattern of body awareness"; "being in a group"; and "experiencing physical capacity", showing influences among them. Body awareness seems to have an impact in the therapeutic process in patients suffering from fibromyalgia.
2024-01-26T08:18:32Z
2024-01-26T08:18:32Z
2024-01-26T08:18:32Z
2018-09-24
info:eu-repo/semantics/article
https://doi.org/10.1080/09593985.2018.1517286
027332
0959-3985
https://repositori.udl.cat/handle/10459.1/464919
eng
Versió preprint del document publicat a https://doi.org/10.1080/09593985.2018.1517286
Physiotherapy Theory and Practice, 2020, vol. 36, núm. 8, p. 933-945
info:eu-repo/semantics/openAccess
(c) Bravo et al., 2017
Taylor & Francis
oai:repositori.udl.cat:10459.1/853542023-02-04T00:08:31Zcom_10459.1_237com_10459.1_2col_10459.1_354
Developing an assistive technology usability questionnaire for people with neurological diseases
Masbernat Almenara, Maria
Rubí Carnacea, Francesc
Opisso, Eloy
Duarte-Oller, Esther
Medina-Casanovas, Josep
Valenzuela Pascual, Francesc
Factor Analysis, Statistical
Humans
Psychometrics / methods
Reproducibility of Results
Surveys and Questionnaires
Purpose This study describes the development of a questionnaire for assessing the usability of assistive technologies accessible to people with neurological diseases. Methods A Delphi study was conducted to identify relevant items for the questionnaire. After that, the content validity was addressed to identify the essential items. Once the questionnaire was designed following the results of the Delphi study and content validity, the reliability, validity, and the Rasch model of the questionnaire were examined. Results Two rounds of the Delphi study were carried out. A total of 73 participants (42 experts and 31 users) participated in round 1, and 59 people (27 experts and 32 users) in round 2. A total of 53 and 29 items were identified in rounds 1 and 2, respectively. In the content validity, we found nine items above the threshold of 0.58. Finally, ten items were included in the questionnaire. Fifty-one participants participate in the reliability and validity of the questionnaire. The internal consistency reliability of the questionnaire analyzed by Cronbach's Alpha was α = 0,895. There was moderate to considerable concordance among our questionnaire items test-retest in the Kappa coefficient and a strong association between test-retest in the Spearman's coefficient ρ = 0.818 (p<0,001). The intraclass correlation coefficient was 0,869 with a 95% confidence interval (0,781;0,923). There was a strong correlation between the total scores of the new questionnaire and other validated questionnaires analyzed with Spearman's coefficient ρ = 0.756 (p<0,001). The ten items demonstrated a satisfactory fit to the Rasch model. Conclusions The present study suggested that the new questionnaire is a reliable 10-item usability questionnaire that allows subjective and quick assessment of the usability of assistive technologies by people with neurological diseases.
2023-02-03T08:15:22Z
2023-02-03T08:15:22Z
2023-02-03T08:15:22Z
2023-01-31
info:eu-repo/semantics/article
https://doi.org/10.1371/journal.pone.0281197
033026
1932-6203
http://hdl.handle.net/10459.1/85354
eng
Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0281197
Plos One, 2023, vol. 18, núm. 1
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/4.0/
cc-by (c) Masbernat Almenara, Maria et al., 2023
Public Library of Science
oai:repositori.udl.cat:10459.1/699282020-11-21T00:10:44Zcom_10459.1_237com_10459.1_2col_10459.1_354
Health system challenges to hypertension and related non-communicable diseases prevention and treatment: perspectives from Ghanaian stakeholders
Laar, Amos K.
Adler, Alma J.
Kotoh, Agnes M.
Legido-Quigley, Helena
Lange, Isabelle L.
Perel, Pablo
Lamptey, Peter
Hypertension prevention and treatment
Non-communicable diseases
Stakeholders
Challenges
Ghana
Background Hypertension, itself a cardiovascular condition, is a significant risk factor for other cardiovascular diseases. Hypertension is recognized as a major public health challenge in Ghana. Beginning in 2014, a collaborative team launched the community-based hypertension improvement program (ComHIP) in one health district in Ghana. The ComHIP project, a public-private partnership, tests a community-based model that engages the private sector and utilizes information and communication technology (ICT) to control hypertension. This paper, focuses on the various challenges associated with managing hypertension in Ghana, as reported by ComHIP stakeholders. Methods A total of 55 informants - comprising patients, health care professionals, licensed chemical sellers (LCS), national and sub-national policymakers - were purposively selected for interview and focus group discussions (FGDs). Interviews were audio-recorded and transcribed verbatim. Where applicable, transcriptions were translated directly from local language to English. The data were then analysed using two-step thematic analysis. The protocol was approved by the two ethics review committees based in Ghana and the third, based in the United Kingdom. All participants were interviewed after giving informed consent. Results Our data have implications for the on-going implementation of ComHIP, especially the importance of policy maker buy-in, and the benefits, as well as drawbacks, of the program to different stakeholders. While our data show that the ComHIP initiative is acceptable to patients and healthcare providers - increasing providers' knowledge on hypertension and patients' awareness of same- there were implementation challenges identified by both patients and providers. Policy level challenges relate to task-sharing bottlenecks, which precluded nurses from prescribing or dispensing antihypertensives, and LCS from stocking same. Medication adherence and the phenomenon of medical pluralism in Ghana were identified challenges. The perspectives from the national level stakeholders enable elucidation of whole of health system challenges to ComHIP and similarly designed programmes. Conclusions This paper sheds important light on the patient/individual, and system level challenges to hypertension and related non-communicable disease prevention and treatment in Ghana. The data show that although the ComHIP initiative is acceptable to patients and healthcare providers, policy level task-sharing bottlenecks preclude optimal implementation of ComHIP.
2020-11-20T13:33:24Z
2020-11-20T13:33:24Z
2020-11-20T13:33:24Z
2019
info:eu-repo/semantics/article
https://doi.org/10.1186/s12913-019-4571-6
029533
1472-6963
http://hdl.handle.net/10459.1/69928
eng
Reproducció del document publicat a: https://doi.org/10.1186/s12913-019-4571-6
Bmc Health Services Research, 2019, vol. 19, p. 1-13
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es
cc-by (c) Laar, Amos K. et al., 2019
BioMed Central
oai:repositori.udl.cat:10459.1/838882022-10-05T00:08:17Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Obstructive sleep apnea and its malajemente in patients with atrial fibrillation: An International Collaboration of Sleep Apnea Cardiovascular Trialists (INCOSACT) global survey of practicing cardiologists
Faulx, Michael D.
Mehra, Reena
Geovanini, Glaucylara Reis
Ando, Shin-Ichi
Arzt, Michael
Drager, Luciano
Fu, Michael
Hoyos, Camilla
Hai, Jo
Hwang, Juey-Jen
Karaoguz, Remzi
Kimoff, John
Lee, Pei-Lin
Mediano, Olga
Patel, Sanjay R.
Peker, Yüksel
Pepin, Jean Louis
Sánchez de la Torre, Manuel
Sériès, Frédéric
Stadler, Stefan
Strollo, Patrick
Tahrani, A. A.
Thunström, Erik
Yamauchi, Motoo
Redline, Susan
Phillips, Craig L.
Sleep apnea
Atrial fibrillation
Survey
International
Clinical equipoise
Background: Among international cardiologists it is unclear whether equipoise exists regarding the benefit of diagnosing and managing obstructive sleep apnea (OSA) to improve atrial fibrillation (AF) outcomes and whether clinical practice and equipoise are linked.
Methods: Between January 2019 and June 2020 we distributed a web-based 12-question survey regarding OSA and AF management to practicing cardiologists in 16 countries.
Results: The United States, Japan, Sweden, and Turkey accounted for two-thirds of responses. 863 cardiologists responded; half were general cardiologists, a quarter electrophysiologists. Responses regarding treating OSA with CPAP to improve AF endpoints were mixed. 33% of respondents referred AF patients for OSA screening. OSA was diagnosed in 48% of referred patients and continuous positive airway pressure (CPAP) was prescribed for 59% of them. Nearly 70% of respondents believed randomized controlled trials (RCTs) of OSA treatment in AF patients were necessary and indicated willingness to contribute to such trials.
Conclusions: There was no clinical equipoise among surveyed cardiologists; a majority expressed certainty that combined OSA and AF treatment is superior to AF treatment alone for improving AF outcomes. However, a minority of surveyed cardiologists referred AF patients for OSA testing, and while half of screened AF patients had OSA, CPAP was prescribed in little more than half of them, reflecting the view that better clinical trial evidence is needed to support this practice. Our results underscore the need for larger, multi-national prospective studies of OSA treatment and AF outcomes to inform more uniform society guideline recommendations.
2022-10-04T08:44:32Z
2022-10-04T08:44:32Z
2022-10-04T08:44:32Z
2022
info:eu-repo/semantics/article
https://doi.org/10.1016/j.ijcha.2022.101085
032601
2352-9067
http://hdl.handle.net/10459.1/83888
eng
Reproducció del document publicat a : https://doi.org/10.1016/j.ijcha.2022.101085
IJC Heart & Vasculature, 2022, vol. 42
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) The Authors, 2022
Elsevier
oai:repositori.udl.cat:10459.1/840362023-03-17T09:59:48Zcom_10459.1_237com_10459.1_2col_10459.1_354
The effect of writing a bachelor thesis on attitudes towards nursing research and development: A cross-sectional comparative study between students and professionals
Gros Navés, Silvia
Contreras Higuera, Williams
Canet Vélez, Olga
Torralbas Ortega, Jordi
Taló Solé, Mercé
Roca Llobet, Judith
Bachelor thesis
Nursing
Research
Research competence
Student
Background: Research is essential to practice nursing and must be duly enhanced during university training. Therefore, writing a bachelor thesis may help to develop research skills and thus transfer this skill set to practical application.
Objectives: 1) To ascertain whether writing a bachelor thesis has a bearing on attitudes towards nursing research and development; 2) to establish a comparison between groups (students and nurses), and 3) to analyse other factors (work experience, advanced training, research experience) that may influence the relationship between nurses and nursing research and development.
Design: A cross-sectional comparative study.
Setting and participants: The participants totalled 204: 38 nursing students and 166 nurses.
Methods: Data were gathered using the instrument Nurses' Attitudes towards Research and Development within Nursing devised by Björkström and Hamrin (2001) version II validated in Spanish. This instrument consists of 33 statements grouped into 7 factors, whose responses offer 5 alternatives on a Likert scale.
Results: Most participants were female (86.3 %), with a mean age of 36 (SD = 11.65). The participants who have written a bachelor thesis obtained a higher score (Mdn = 4.14; range = 2.06) than those who have not (Mdn = 3.98; range = 2.13), with a significant difference (U = 3959.5; p = 0.012) and a moderate effect size (Hedges's g = 0.40). The students are those who obtained the highest scores. Amongst the nurses, educational training is the element that is most positively correlated with attitudes towards nursing research and development (r = 0.340).
Conclusion: The results suggest that writing a bachelor thesis engenders greater interest and a favourable attitude towards nursing research and development and displays that the most interested group is the students, followed by nurses holding a degree in nursing, and lastly those with a Diploma of Higher Education in nursing. Nurses' educational training is the most influential aspect, standing above researcher or professional experience.
2022-11-02T08:59:34Z
2022-11-02T08:59:34Z
2022-11-02T08:59:34Z
2022
info:eu-repo/semantics/article
https://doi.org/10.1016/j.nedt.2022.105532
032616
0260-6917
http://hdl.handle.net/10459.1/84036
eng
Reproducció del document publicat a: https://doi.org/10.1016/j.nedt.2022.105532
Nurse Education Today, 2022, núm. 118
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) Gros Navés et al., 2022
Elsevier
oai:repositori.udl.cat:10459.1/727872022-02-01T09:35:54Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998col_10459.1_44504
Effectiveness of technology-based interventions in detection, prevention, monitoring and treatment of patients at risk or diagnosed with mild cognitive impairment: protocol for a systematic review
Martínez Soldevila, Jordi
Pastells Peiró, Roland
Climent Sanz, Carolina
Piñol Ripoll, Gerard
Rocaspana-Garcia, Mariona
Gea Sánchez, Montserrat
Introduction: The gradual changes over the decades in the longevity and aging of European society as a whole can be directly related to the prolonged decline in the birth rate and increase in life expectancy. According to the WHO, there is an increased risk of dementia or other cognitive disorders as the population ages, which have a major impact on public health. Mild cognitive impairment (MCI) is described as a greater than expected cognitive decline for an individual's age and level of education, but that does not significantly interfere with activities of daily living. Patients with MCI exhibit a higher risk of dementia compared with others in the same age group, but without a cognitive decline, have impaired walking, and a 50% greater risk of falling. The urban lifestyle and advent of smartphones, mobility, and immediate access to all information via the internet, including health information, has led to a totally disruptive change in most general aspects. This systematic review protocol is aimed at evaluating the effectiveness of technology-based interventions in the detection, prevention, monitoring, and treatment of patients at risk or diagnosed with MCI. Methods and analysis: This review protocol follows the recommendations of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols reporting guidelines. The search will be performed on MEDLINE (PubMed), CENTRAL, CINAHL Plus, ISI Web of Science, and Scopus databases from 2010 to 2020. Studies of interventions either randomized clinical trials or pre-post non-randomized quasi-experimental designs, published in English and Spanish will be included. Articles that provide relevant information on the use of technology and its effectiveness in interventions that assess improvements in early detection, prevention, follow-up, and treatment of the patients at risk or diagnosed with MCI will be included. Ethics and dissemination: Ethics committee approval is not required. The results will be disseminated in publications and congresses. Keywords: dementia; geriatric medicine; health informatics; mental health; preventive medicine.
2022-01-19T08:08:27Z
2022-01-19T08:08:27Z
2022-01-19T08:08:27Z
2021-08-18
info:eu-repo/semantics/article
https://doi.org/10.1136/bmjopen-2020-045978
031551
2044-6055
http://hdl.handle.net/10459.1/72787
eng
Reproducció del document publicat a: https://doi.org/10.1136/bmjopen-2020-045978
Bmj Open, 2021, vol. 11, núm. 8, e045978
info:eu-repo/grantAgreement/EC/H2020/876487/EU/ECSEL
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/4.0/
cc-by (c) Martínez Soldevila, Jordi et al., 2021
BMJ Publishing Group
oai:repositori.udl.cat:10459.1/663842020-12-17T15:00:28Zcom_10459.1_237com_10459.1_2col_10459.1_354
Opinió de l’alumnat sobre les metodologies docents de l’assignatura de Cuidatges de la Persona Gran i fiabilitat de les escales utilitzades
Botigué, Teresa
Masot, Olga
Nuin Orrio, Carmen
Barallat Gimeno, Eva
Jürschik, Pilar
Lavedán, Ana
Opinió estudiants
Classes magistrals
Seminaris de casos clínics
Seminaris de simulació
Fiabilitat escales
Students’ opinion
Lectures
Clinical case seminars
Simulation seminars
Reliability
Objectiu: conèixer l'opinió de l'estudiantat vers les metodologies docents emprades i determinar la fiabilitat de les escales utilitzades.
Metodologia: estudi descriptiu i transversal. S'han avaluat les classes magistrals, els seminaris de casos clínics i els de simulació.
Resultats: la puntuació mitjana de les classes magistrals va ser de 4,02, els seminaris de casos clínics de 4,03 i els de simulació de 4,46. La consistència interna de les escales va ser de 0,69, 0,83 i 0,90 respectivament.
Objective: to know the opinion of students towards teaching methodologies implemented and to determine the reliability of the scales used.
Methodology: cross-sectional study. Lectures, clinical case seminars and simulation seminars were evaluated.
Results: the average score was 4.02 for lectures, 4,03 for clinical case seminars and 4,46 for simulation seminars. Internal consistency of the scales was 0.69, 0.83 and 0.90 respectively.
2019-05-28T09:08:27Z
2019-05-28T09:08:27Z
2019-05-28T09:08:27Z
2016
info:eu-repo/semantics/article
2385-6203
http://hdl.handle.net/10459.1/66384
cat
Reproducció del document publicat a https://www.cidui.org/revistacidui/index.php/cidui/article/view/973
Revista del CIDUI, 2016, núm. 3
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Teresa Botigué et al., 2016
CIDUI Congrés Internacional de Docència Universitària i Innovació
oai:repositori.udl.cat:10459.1/4644362024-02-09T03:00:31Zcom_10459.1_237com_10459.1_2com_10459.1_240col_10459.1_354col_10459.1_333
Prevalence and risk factors of gestational diabetes in the health region of Lleida: a retrospective observational cohort study
Orós, Míriam
Perejón, Dani
Serna Arnaiz, Catalina
Leon, J.
Ortega Bravo, Marta
Salinas Roca, Blanca
Gestational diabetes mellitus
Immigrant women
Obesity
Population-based study
Background
Diabetes is a very common metabolic condition during pregnancy. The number of cases increases with age and obesity. The prevalence of pre-gestational diabetes and gestational diabetes (GD) differs between different ethnic groups.
Objective
The aim of the study was to analyse the prevalence of pre-gestational diabetes and GD in the health region of Lleida. We also studied the GD risk factors during pregnancy according to the country of origin of the pregnant woman.
Methods
We performed a retrospective observational cohort study among pregnant women between 2012 and 2018 in the health region of Lleida. A multivariate model was performed with the different variables analysed by calculating the regression coefficient and its 95% confidence interval (CI).
Results
In our sample of 17,177 pregnant women, we observed a prevalence of pre-gestational diabetes and GD of 8.2% and 6.5%, respectively. We found a relationship of gestational diabetes with different factors: age, with 6.8% in 30–34 year-old women and 11.3% in women over 35 (OR 1.78 and 3.29, respectively); overweight, with 8.29% (OR 1.89); and obesity, with 12.9% (OR 3.15). Finally, women from Asia and the Middle East and the Maghreb had a higher risk of diabetes, with 12.2% (OR 2.1) and 9.91% (OR 1.3), respectively, and Sub-Saharan women had a lower risk of it 6.07% (OR 0.71).
Conclusions
GD has different risk factors, such as age, overweight, and obesity. Non-related conditions include hypothyroidism, arterial hypertension, and dyslipidaemia. Finally, pregnant women from the Maghreb, and Asia and the Middle East, are at higher risk of developing diabetes during pregnancy; meanwhile, Sub-Saharan origin is protector factor.
2023-11-08T09:20:35Z
2023-11-08T09:20:35Z
2023-11-08T09:20:35Z
2023
info:eu-repo/semantics/article
https://doi.org/10.1007/s40618-023-02120-5
034004
0391-4097
https://repositori.udl.cat/handle/10459.1/464436
eng
Reproducció del document publicat a https://doi.org/10.1007/s40618-023-02120-5
Journal of Endocrinological Investigation, 2023, vol. 46, p. 2639–2646
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) M. Orós et al., 2023
Attribution 4.0 International
Springer
oai:repositori.udl.cat:10459.1/659342019-03-20T14:36:16Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_56964col_10459.1_354col_10459.1_59998col_10459.1_57662
Nursing knowledge of and attitude in cardiopulmonary arrest: cross-sectional survey analysis
Tíscar González, Verónica
Blanco Blanco, Joan
Gea Sánchez, Montserrat
Rodriguez-Molinuevo, Ascensión
Moreno-Casbas, Maria Teresa
Attitudes
Cardiopulmonary resuscitation
Ethics
Healthcare training
Background
Nurses are often the first to activate the chain of survival when a cardiorespiratory arrest happens. That is why it is crucial that they keep their knowledge and skills up-to-date and their attitudes to resuscitation are very important. The main aim of this study was to analyse whether the level of theoretical and practical understanding affected the attitudes of nursing staff.
Methods
A questionnaire was designed using the Delphi technique (three rounds). The questionnaire was adjusted and it was piloted on a test-retest basis with a convenience sample of 30 registered nurses. The psychometric characteristics were evaluated using a sample of 347 nurses using Cronbach’s alpha. Descriptive analysis was performed to describe the sociodemographic variables and Spearman’s correlation coefficient to assess the relationship between two scale variables. Pearson’s chi-squared test has been used to study the relationship between two categorical variables. Wilcoxon Mann Whitney test and the Kruskal–Wallis test were performed to establish relationships between the demographic/work related characteristics and the level of understanding.
Results
The Knowledge and Attitude of Nurses in the Event of a Cardiorespiratory Arrest (CAEPCR) questionnaire comprised three sections: sociodemographic information, theoretical and practical understanding, and attitudes of ethical issues. Cronbach’s alpha for the internal consistency of the attitudes questionnaire was 0.621. The knowledge that nurses self-reported with regard to cardiopulmonary arrest directly affected their attitudes. Their responses raised a number of bioethical issues.
Conclusions
CAEPCR questionnaire is the first one which successfully linked knowledge of cardiopulmonary resuscitation to the attitudes towards ethical issues Health policies should ensure that CPR training is mandatory for nurses and all healthcare workers, and this training should include the ethical aspects.
2019-03-12T09:04:46Z
2019-03-12T09:04:46Z
2019-03-12T09:04:46Z
2019
info:eu-repo/semantics/article
https://doi.org/10.7717/peerj.6410
028282
2167-8359
http://hdl.handle.net/10459.1/65934
eng
Reproducció del document publicat a https://doi.org/10.7717/peerj.6410
PeerJ, 2019, vol. 7, núm. e6410, p. 1-18
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Verónica Tíscar et al., 2019
PeerJ
oai:repositori.udl.cat:10459.1/701862023-01-31T18:50:37Zcom_10459.1_237com_10459.1_2col_10459.1_354col_10459.1_49291
Postural Stability and Cognitive Performance of Subjects With Parkinson's Disease During a Dual-Task in an Upright Stance
Morenilla, Luis
Márquez, Gonzalo
Sánchez, José Andrés
Bello, Olalla
López-Alonso, Virginia
Fernández-Lago, Helena
Fernández del Olmo, Miguel Ángel
Background: The reviewed studies on center of pressure (COP) displacement in Parkinson's disease (PD) subjects show important methodological differences and contradictory results with regard to healthy subjects. The dual-task paradigm method has been used to examine cognitive prioritization strategies to control concurrent postural and cognitive tasks. The motor requirements, such as pronouncing words, involved in the cognitive tasks used in double-task conditions could be related to the heterogeneity of the results. Research Objective: To compare postural sway and cognitive performance in subjects with PD and controls using a dual-task paradigm with a cognitive task free of motor demands. We tried to examine the prioritization strategy of PD patients regarding healthy adults to control for concurrent postural and cognitive tasks. Materials and Methods: 25 subjects with PD and 20 healthy controls carried out a postural task under both single-task and dual-task conditions. The postural task was to stand as still as possible, with eyes first open and then closed. The dual-task condition added a concurrent cognitive task based on phoneme monitoring. COP displacement variables and cognitive performance were compared between the groups and within-subject factors were also examined. Results: PD participants showed higher COP displacement results than the controls. All participants shortened the mean sway radius in dual-task conditions compared with single-task conditions; only healthy subjects presented less transversal COP sway in dual-task conditions than in single-task conditions. The cognitive performance of PD patients on a phoneme monitoring task worsened when they carried it out while maintaining balance in a standing position compared to sitting. The opposite effect occurred in control subjects. Conclusion: This study confirms the negative influence of Parkinson's disease on the control of standing stability, increasing the COP sway amplitude. The attentional demands of a postural task, such as standing balance, may be greater in PD patients than in healthy subjects. This would affect the performance of patients during dual-task conditions to be able to control a postural task while performing other cognitive tasks. In these conditions, cognitive performance would be negatively affected. These results suggest that subjects with PD, at least during initial disease stages, prioritize postural control over other concurrent tasks, as is also seen in healthy subjects.
2021-01-13T08:42:28Z
2021-01-13T08:42:28Z
2021-01-13T08:42:28Z
2020-07-20
info:eu-repo/semantics/article
https://doi.org/10.3389/fpsyg.2020.01256
030669
1664-1078
http://hdl.handle.net/10459.1/70186
eng
Reproducció del document publicat a: https://doi.org/10.3389/fpsyg.2020.01256
Frontiers in Psychology, 2020, vol. 11, num. 1256
info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016/DEP2017-87384-R/ES/ESTUDIO DE LOS EFECTOS DE LA COMBINACION DE EJERCICIO FISICO Y ESTIMULACION CEREBRAL NO INVASIVA EN LA MARCHA DE PACIENTES CON LA ENFERMEDAD DE PARKINSON/
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Morenilla, Luis et al., 2020
Frontiers
oai:repositori.udl.cat:10459.1/678812021-04-21T14:27:18Zcom_10459.1_237com_10459.1_2col_10459.1_354
Patients' and primary healthcare professionals' perceptions regarding chronic low back pain and its management in Spain: a qualitative study
Valenzuela Pascual, Francesc
García-Martínez, Ester
Molina, Fidel
Soler González, Jorge
Blanco Blanco, Joan
Rubí Carnacea, Francesc
Climent Sanz, Carolina
Briones Vozmediano, Erica Tula
Low back pain
Chronic Low-Back Pain
Primary Care
Qualitative research
Purpose: This study aimed to explore and compare the perceptions of patients and primary healthcare professionals regarding the management of chronic low back pain. Methods: Qualitative study using 26 semi-structured individual interviews, and one discussion group, carried out in primary care in Lleida, Spain. Results: Patients and primary healthcare professionals both had assumptions pertaining to: 1) the diagnosis and meaning of chronic low back pain, 2) expectations regarding treatment for pain reduction, and 3) communication between primary healthcare professionals and patients with chronic low back pain. Results suggest a mutual dissatisfaction with the diagnosis of chronic low back pain and a lack of understanding between primary healthcare professionals and patients. Some contradictions between them were also noted: the patients wanted quick solutions to reduce their pain, but the primary healthcare professionals required an accurate etiology to prescribe treatment, and the patients did not always follow the primary healthcare professionals' recommendations. Conclusions: Diagnosing and treating chronic low back pain is compromised due to differing expectations and the communication barriers that exist between healthcare professionals and their patients. Primary healthcare professionals should be aware of the power of their explanations and recommendations to patients.
2020-12-24T23:12:48Z
2020-12-24T23:12:48Z
2020-12-24T23:12:48Z
2019-12-14
info:eu-repo/semantics/article
https://doi.org/10.1080/09638288.2019.1705923
029339
0963-8288
http://hdl.handle.net/10459.1/67881
eng
Versió postprint del document publicat a: https://doi.org/10.1080/09638288.2019.1705923
Disability and Rehabilitation, 2019, p. 1-29
info:eu-repo/semantics/openAccess
(c) Informa UK Limited, trading as Taylor & Francis Group, 2019
Taylor & Francis
oai:repositori.udl.cat:10459.1/682902020-03-24T00:19:18Zcom_10459.1_237com_10459.1_2col_10459.1_354
Implementación del día mundial de la actividad física en Cataluña
Gónzalez-Viana, Angelina
Ripoll-Redortra, Ruth
Gómez Santos, Santiago Felipe
Violán, Mariona
Rubinat, Maica
Cabezas, Carmen
Promoción de salud
Ejercicio
Salud pública
Evaluación de programas
Health promotion
Exercise
Public health
Program evaluation
Fundamentos: Aunque la práctica de actividad física (AF) tiene múltiples beneficios, el 30% de personas son inactivas. Cataluña impulsó el Día Mundial de la actividad física (DMAF) como parte de una estrategia más amplia de promoción de la AF. Este trabajo tuvo como objetivo presentar la implementación y evolución 2010-2016. Métodos: Estudio transversal de tendencias. Se impulsó la celebración del DMAF mediante la web www.pafes.cat, un formulario de registro y un plan de comunicación. Las variables estudiadas fueron número de entidades, tipos de eventos y participantes, el porcentaje de eventos coordinados, el número de visitas web y el coste. Se realizó un análisis descriptivo univariado y de frecuencias. Resultados: Se realizó la difusión a >9000 direcciones electrónicas/año. Entre 2010 y 2016 se multiplicaron por cinco las entidades organizadoras, eventos y participantes (en 2016 2,8% de la población), durante marzo y abril aumentaron las visitas a la web. Los eventos
(caminatas, AF dirigida, deporte y difusión) presentaron coordinación y movilizaron de 25 a 500 personas desde diversos ámbitos. El coste estimado medio fue de 1 céntimo por participante. Conclusiones: El DMAF consiguió llegar a un gran volumen de población con un coste mínimo.
Background: Even though physical activity (PA) has multiple benefits, 30% of the population is inactive. Catalonia impulse the World Physical Activity Day (WPAD), as a part of a broader strategy of PA promotion. The objetive of this work was to present the implementation and evolution of WPAD from 2010 to 2016. Methods: Repeated cross-sectional study. WPAD celebration was promoted through the web www.pafes.cat, a registry form, and a communication plan. Studied variables were: n. of entities, events (type) and participants, % of coordinated events, number of web visits and cost. A descriptive univariate analysis and calculation of frequencies was done. Results: Spreading was done to >9000 electronic
addresses per year. Between 2010 and 2016 organizing entities, events and participants (2,8% of population in 2016) multiplied by 5. Organized events (walks, supervised PA, sport and diffusion) were done in coordination and mobilized 25 to 500 people, from a variety of settings. Estimated mean cost was 1 cent of euro by participant. Conclusions: WPAD managed to reach an important amount of population at a minimum cost.
2020-03-23T09:12:22Z
2020-03-23T09:12:22Z
2020-03-23T09:12:22Z
2019
info:eu-repo/semantics/article
1135-5727 (paper)
2173-9110 (online)
http://hdl.handle.net/10459.1/68290
spa
Reproducció del document publicat a https://www.mscbs.gob.es/biblioPublic/publicaciones/recursos_propios/resp/revista_cdrom/VOL93/ORIGINALES/RS93C_201903012.pdf
Revista Española de Salud Pública, 2019, vol. 93, p. e1-e19
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd, (c) Gónzalez-Viana, et al., 2019
Ministerio de Sanidad, Servicios Sociales e Igualdad
oai:repositori.udl.cat:10459.1/688632020-05-30T00:09:34Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
European survey on preanalytical sample handling – Part 1: How do European laboratories monitor the preanalytical phase? On behalf of the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) Working Group for the Preanalytical Phase (WG-PRE)
Cadamuro, Janne
Lippi, Giuseppe
von Meyer, Alexander
Ibarz Escuer, Mercedes
van Dongen–Lases, Edmee
Cornes, Michael
Nybo, Mads
Vermeersch, Pieter
Grankvist, Kjell
Guimaraes, Joao Tiago
Kristensen, Gunn B.
de la Salle, Barbara
Simundic, Ana-Maria
Preanalytics
Standardization
Survey
Introduction: Compared to other activities of the testing process, the preanalytical phase is plagued by a lower degree of standardization, which makes it more vulnerable to errors. With the aim of providing guidelines and recommendations, the EFLM WG-PRE issued a survey across European medical laboratories, to gather information on local preanalytical practices. This is part one of two coherent articles, which covers all practices on monitoring preanalytical quality except haemolysis, icterus and lipemia (HIL).
Materials and methods: An online survey, containing 39 questions dealing with a broad spectrum of preanalytical issues, was disseminated to EFLM member countries. The survey included questions on willingness of laboratories to engage in preanalytical issues.
Results: Overall, 1405 valid responses were received from 37 countries. 1265 (94%) responders declared to monitor preanalytical errors. Assessment, documentation and further use of this information varied widely among respondents and partially among countries. Many responders were interested in a preanalytical online platform, holding information on various aspects of the preanalytical phase (N = 1177; 87%), in a guideline for measurement and evaluation of preanalytical variables (N = 1235; 92%), and in preanalytical e-learning programs or webinars (N = 1125; 84%). Fewer responders were interested in, or already participating in, preanalytical EQA programs (N = 951; 71%).
Conclusion: Although substantial heterogeneity was found across European laboratories on preanalytical phase monitoring, the interest in preanalytical issues was high. A large majority of participants indicated an interest in new guidelines regarding preanalytical variables and learning activities. This important data will be used by the WG-PRE for providing recommendations on the most critical issues.
2020-05-29T07:25:56Z
2020-05-29T07:25:56Z
2020-05-29T07:25:56Z
2019
info:eu-repo/semantics/article
https://doi.org/10.11613/BM.2019.020704
028827
1330-0962
1846-7482 (Online)
http://hdl.handle.net/10459.1/68863
eng
Reproducció del document publicat a https://doi.org/10.11613/BM.2019.020704
Biochemia Medica, 2019, vol. 29, núm. 2
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by, (c) Croatian Society of Medical Biochemistry, 2018
Croatian Society of Medical Biochemistry and Laboratory Medicine
oai:repositori.udl.cat:10459.1/4632672023-05-03T09:09:27Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Experience, facilitators, and barriers to the implementation of a multicomponent programme in older people living in the community, +AGIL Barcelona: A qualitative study
Canet Vélez, Olga
Solis Navarro, Lilian
Sitjà Rabert, Mercè
Pérez, Laura Mónica
Roca Llobet, Judith
Soto Bagaria, Luis
Torres Castro, Rodrigo
Díaz Gallego, Francisco
Vilaró, Jordi
Inzitari, Marco
Frailty
Community-integrated care
Exercise implementation programme frailty
Exercise implementation programme
Introduction: The +AGIL Barcelona programme is a multicomponent care intervention for frail older adults (FOAs) living in the community. To improve the programme, it is essential to investigate the experience of all participants. Our objective was to explore the perspective of FOA and professionals about the barriers, facilitators, and improvement elements of the development of the +AGIL Barcelona programme. Qualitative descriptive approach. Were included FOA and professionals who participated in the +AGIL Barcelona programme.
Methods: Three focus groups and four interviews were conducted. These were analyzed following the qualitative method of content analysis. The criteria of scientific rigor of credibility, dependence, and transferability were ensured throughout the study.
Results: Three themes and seven sub-themes were developed: facilitators (positive experience and perceived benefits), barriers (self-perceived health status, digital divide, and continuity of the programme at home), and improvements elements (programme continuity and adaptation of technology). All the participants felt satisfied, highlighting aspects such as interpersonal relationships and social contact, face-to-face sessions guided by a physiotherapist, and the functional improvement achieved. Some of the difficulties were the self-perception of frailty, the need for technological support, and continuing the exercise programme at home.
Conclusion: The FOA who participated in the +AGIL Barcelona programme perceived direct benefits for their health and physical condition due to the development of self-confidence by being able to perform physical exercise despite their baseline condition, and the professionals experienced an improvement in the quality of care due to work in a multidisciplinary team.
2023-05-02T10:04:16Z
2023-05-02T10:04:16Z
2023-05-02T10:04:16Z
2023
info:eu-repo/semantics/article
https://doi.org/10.3389/fpubh.2023.1161883
033154
2296-2565
https://repositori.udl.cat/handle/10459.1/463267
eng
Reproducció del document puplicat a: https://doi.org/10.3389/fpubh.2023.1161883
Frontiers in public health, 2023, vol. 11
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by(c) authors, 2023
Attribution 4.0 International
Frontiers
oai:repositori.udl.cat:10459.1/631332020-12-17T14:58:52Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?
Lavedán, Ana
Viladrosa, Maria
Jürschik, Pilar
Botigué, Teresa
Nuin Orrio, Carmen
Masot, Olga
Lavedán, Raquel
Infermeria
Background: Despite the number of studies that have tried to demonstrate that there is an association between previous falls and the fear of falling, the relationship between these two variables remains a matter of controversy. Objectives: Our objective was to investigate whether the fear of falling is a cause of falls, a consequence, or both in community-dwelling adults aged ≥ 75 years old. Methods: A descriptive, longitudinal, prospective study was performed. A total of 640 individuals were interviewed between 2009 and 2011. Sociodemographic data, health status, history of falls and fear of falling were assessed at baseline and at 24 months. Results: The prevalence of falls at baseline was 25% as opposed to 35.2% at 24 months. The prevalence of the fear of falling was 41.5% at baseline. Logistic regression analysis showed a significant association between a history of falls and the fear of falling. Other factors associated with the fear of falling were female gender, comorbidity, depressive symptoms, and disability. In total, 41.7% of the subjects who had reported a fear of falling at baseline had suffered at least one fall 24 months later. Unadjusted Cox regression analysis revealed that the fear of falling was a risk factor for falls. According to the final model adjusted for other covariates, the only reliable predictor was female gender. The Cox model stratified by gender failed to show a crude association between fear of falling and falls. Conclusion: A previous history of falls in the previous year was a good predictor of the fear of falling; but the fear of falling was a predictor of falls during follow-up only in the unadjusted model, pointing to strong gender turns out as an effect modifier of the association of FOF and subsequent falls. Nursing staff working in elderly care should not only routinely assess patients' previous history of falls, but also evaluate their fear of falling and its associated factors. Dades primàries associades a l'article http://hdl.handle.net/10459.1/62535
2018-04-23T07:35:39Z
2018-04-23T07:35:39Z
2018-04-23T07:35:39Z
2018-03-29
info:eu-repo/semantics/article
https://doi.org/10.1371/journal.pone.0194967
026844
1932-6203
http://hdl.handle.net/10459.1/63133
eng
Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0194967
Plos One, 2018, vol. 13, num. 3, p. 1-14
http://hdl.handle.net/10459.1/62535
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es
cc-by (c) Lavedán Santamaría, Ana et al., 2018
Public Library of Science
oai:repositori.udl.cat:10459.1/603312020-06-30T09:11:24Zcom_10459.1_237com_10459.1_2col_10459.1_354
Integrating cervical cancer with HIV healthcare services: a systematic review
Sigfrid, Louise
Murphy, Georgina
Haldane, Victoria
Leh Hoon Chuah, Fiona
Ee Ong, Suan
Cervero Liceras, Francisco
Watt, Nicola
Alconada Romero, Álvaro
Otero García, Laura
Balabanova, Dina
Hogarth, Sue
Maimaris, Will
Buse, Kent
Mckee, Martin
Piot, Peter
Perel, Pablo
Legido-Quigley, Helena
Cervical cancer is a major public health problem. Even though readily preventable, it is the fourth leading cause of death in women globally. Women living with HIV are at increased risk of invasive cervical cancer, highlighting the need for access to screening and treatment for this population. Integration of services has been proposed as an effective way of improving access to cervical cancer screening especially in areas of high HIV prevalence as well as lower resourced settings. This paper presents the results of a systematic review of programs integrating cervical cancer and HIV services globally, including feasibility, acceptability, clinical outcomes and facilitators for service delivery.
2017-10-20T10:05:45Z
2017-10-20T10:05:45Z
2017-10-20T10:05:45Z
2017
article
https://doi.org/10.1371/journal.pone.0181156
1932-6203
http://hdl.handle.net/10459.1/60331
eng
Reproducció del document publicat a https://doi.org/10.1371/journal.pone.0181156
Plos One, 2017, vol. 12, núm. 7, p. 1-26
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Sigfrid et al., 2017
Public Library of Science
oai:repositori.udl.cat:10459.1/492752021-06-28T08:59:20Zcom_10459.1_237com_10459.1_2col_10459.1_354
Prolonged Sitting Time: Barriers, Facilitators and Views on Change among Primary Healthcare Patients Who Are Overweight or Moderately Obese
Martínez Ramos, Elena
Martín Borràs, Carme
Trujillo, José Manuel
Giné-Garriga, Maria
Martín Cantera, Carlos
Solà Gonfaus, Mercè
Castillo Ramos, Eva
Pujol Ribera, Enriqueta
Rodríguez, Dolors
Puigdomenech, Elisa
Beltran, Angela Maria
Serra Payà, Noemí
Gascón Catalán, Ana
Puig Ribera, Anna
Background and Objectives: Prolonged sitting time has negative consequences on health, although the population is not well aware of these harmful effects. We explored opinions expressed by primary care patients diagnosed as overweight or moderately obese concerning their time spent sitting, willingness to change, and barriers, facilitators, goals and expectations related to limiting this behaviour. Methods: A descriptive-interpretive qualitative study was carried out at three healthcare centres in Barcelona, Spain, and included 23 patients with overweight or moderate obesity, aged 25 to 65 years, who reported sitting for at least 6 hours a day. Exclusion criteria were inability to sit down or stand up from a chair without help and language barriers that precluded interview participation. Ten in-depth, semi-structured interviews (5 group, 5 individual) were audio recorded from January to July 2012 and transcribed. The interview script included questions about time spent sitting, willingness to change, barriers and facilitators, and the prospect of assistance from primary healthcare professionals. An analysis of thematic content was made using ATLAS.Ti and triangulation of analysts. Results: The most frequent sedentary activities were computer use, watching television, and motorized journeys. There was a lack of awareness of the amount of time spent sitting and its negative consequences on health. Barriers to reducing sedentary time included work and family routines, lack of time and willpower, age and sociocultural limitations. Facilitators identified were sociocultural change, free time and active work, and family surroundings. Participants recognized the abilities of health professionals to provide help and advice, and reported a preference for patient-centred or group interventions. Conclusions: Findings from this study have implications for reducing sedentary behaviour. Patient insights were used to design an intervention to reduce sitting time within the frame of the SEDESTACTIV clinical trial.
2015-12-22T08:19:00Z
2015-12-22T08:19:00Z
2015-12-22T08:19:00Z
2015
article
https://doi.org/10.1371/journal.pone.0125739
024413
1932-6203
http://hdl.handle.net/10459.1/49275
eng
Reproducció del document publicat a https://doi.org/10.1371/journal.pone.0125739
PLOS ONE, 2015, vol. 10, núm. 6, p. 1-21
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es/
cc-by, (c) Martínez Ramos et al., 2015
Public Library of Science
oai:repositori.udl.cat:10459.1/717882022-12-02T11:00:45Zcom_10459.1_237com_10459.1_2col_10459.1_354
Emotional experience of the diagnostic process of a rare disease and the perception of support systems: A scoping review
Llubes Arrià, Laia
Sanromà Ortíz, Montserrat
Torné Ruiz, Alba
Carillo Álvarez, Elena
García Expósito, Judith
Roca Llobet, Judith
Diagnostic
Emotional
Experiences
Rare disease
Support system
Aims and objective
To explore the experience of adult patients and adult patients’ families, and their perception of the support systems received during the diagnostic process of rare diseases.
Background
There are about 7,000 rare diseases that affect 7% of the world's population. Rare diseases are often underdiagnosed. This has been reported to have deleterious physical and psychological consequences in both the patients and their families, especially when institutional support during this process is low.
Design
A scoping review was carried out following the 6-phase model proposed by Arksey & O’Malley and Levac et al., including the consultation phase in which patients diagnosed with rare diseases were interviewed to seek their views on the bibliographic evidence reviewed and their experience during the diagnostic process.
Methods
The databases consulted were PubMed, CINAHL, Web of Science, SCOPUS, Cochrane Library, PsycINFO, OpenGrey, ProQuest Dissertations and Theses Global. They were explored from inception–July 2020, and qualitative, quantitative and mixed method studies were included. The Mixed Methods Appraisal Tool was used for the critical evaluation of the articles. The review was based on the guidance in the PRISMA-ScR statement.
Results
The initial search identified 2,350 articles, of which 20 fully met the inclusion criteria and were therefore reviewed. In this analysis appeared two dimensions: internal factors: emotional aspects, and external factors: resources and support systems.
Relevance to clinical
This review provides evidence on the emotional impact of the diagnostic process and during the communication phase of the definitive diagnosis. Health systems and professionals must be strengthened in order to improve the information, training and resources. Nurses can play a key role in coordinating communication and follow-up of those affected.
2021-09-02T08:36:51Z
2021-09-02T08:36:51Z
2021-09-02T08:36:51Z
2021
info:eu-repo/semantics/article
https://doi.org/10.1111/jocn.15922
031432
0962-1067
http://hdl.handle.net/10459.1/71788
eng
Reproducció del document publicat a https://doi.org/10.1111/jocn.15922
Journal of Clinical Nursing, 2021, p. 1-12
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Llubes et al., 2021
Wiley
oai:repositori.udl.cat:10459.1/694712021-09-10T13:25:06Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_56964col_10459.1_354col_10459.1_59998col_10459.1_57662
Witnessed resuscitation of adult and paediatric hospital patients: An umbrella review of the evidence
Tíscar González, Verónica
Gea Sánchez, Montserrat
Blanco Blanco, Joan
Pastells Peiró, Roland
De Ríos-Briz, Nuria
Moreno-Casbas, Maria Teresa
Cardiopulmonary resuscitation
Evidence synthesis
Family-centred care
Life support
Objective To examine the research evidence about whether families were allowed to witness cardiopulmonary resuscitation on hospitalised adult and paediatric patients; and the views of patients, families and health professionals, about witnessed cardiopulmonary resuscitation. Design An umbrella review methodology of systematic reviews with sufficient methodological quality. Review methods Papers published in Spanish and English between, 1 January 2009 and 31 December 2018 were considered. The following databases were searched: PubMed, CINAHL, Web of Science, Scopus, Cochrane Central Register of Controlled Trials, PsycInfo, Embase, the Central Supplier Database and the Joanna Briggs Institute, Evidence-based Practice Database. Two independent reviewers assessed the papers for methodological quality employing instruments from the Joanna Briggs Institute. Critical appraisal, extraction and synthesis were carried out, employing the established methods for umbrella reviews and the protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO number CRD42019145610). Results The search identified 12 systematic reviews with moderate-to-high quality, which covered 110 original papers. Habitually, health professionals expressed controversial views and showed some reluctance to let families be present during cardiopulmonary resuscitation. In contrast, family members felt strongly that they should be present and patients agreed. Key factors that facilitated witnessed cardiopulmonary were a formal institutional policy, educating health professionals, and designating a health professional to support the family. Educational and cultural backgrounds influenced healthcare professionals' experiences and their attitudes towards witnessed cardiopulmonary resuscitation. In general, Anglo-Saxon countries showed greater support for this practice. These included the United States, which was the country that dominated the literature on this subject. Conclusions The best available evidence supports allowing the family to be present during cardiopulmonary resuscitation. It is necessary to include this practice in educational curricula and to train emergency personnel in its implementation. Culturally sensitive policies need to be designed, and the public to be aware of their right to be present.
2021-08-07T22:08:59Z
2021-08-07T22:08:59Z
2021-08-07T22:08:59Z
2020-08-07
info:eu-repo/semantics/article
https://doi.org/10.1016/j.ijnurstu.2020.103740
030336
0020-7489
http://hdl.handle.net/10459.1/69471
eng
Versió postprint del document publicat a: https://doi.org/10.1016/j.ijnurstu.2020.103740
International Journal of Nursing Studies, 2020, p. 1-48
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/3.0/es
cc-by-nc-nd (c) Pergamon, 2020
Elsevier
oai:repositori.udl.cat:10459.1/713082021-06-24T00:25:52Zcom_10459.1_71305com_10459.1_2com_10459.1_237col_10459.1_71306col_10459.1_354
Front-line nurses’ responses to organizational changes during the COVID-19 in Spain. A qualitative rapid appraisal
Tort Nasarre, Glòria
Álvarez Mora, Bruna
Galbany Estragués, Paola
Subías Miquel, Martí
Vázquez Segura, Eva
Marre, Diana
Romeu Labayen, Maria
COVID-19 (Coronavirus Disease 2019)
Nursing
Organization and administration
Health care facilities
Qualitative research
Aims: Identify the organizational changes faced by front- line nurses working with COVID-
19 patients during the first wave and describe how they responded to these changes.
Background: The COVID-19 pandemic has altered the provision of care and the management
of health care around the world. Evolving information about SARS-coV-2 meant that health
care facilities had to be reorganized continually, causing stress and anxiety for nurses.
Methods: Qualitative study based on Rapid Research Evaluation and Appraisal (RREAL).
The research took place in Hospital and community health settings of the Spanish national
health system with a purposive sampling of 23 front- line nurses. Semi-structured interviews
were conducted between May and June 2020. The duration was 30 to 45 minutes per interview.
We used the Dedoose® data analysis software to perform a thematic analysis.
Results: Nurses responded to organizational changes using the following strategies: improvisation,
adaptation, and learning.
Conclusion: Our rapid approach allowed us to record how nurses responded to changing organization,
information that is easily lost in a disaster such as the COVID-19.
Implications for Nursing Management: Knowing about their strategies can help planning for
future health disasters, including subsequent waves of the COVID-19.
2021-05-10
info:eu-repo/semantics/article
https://doi.org/10.1111/jonm.13362
031107
0966-0429
http://hdl.handle.net/10459.1/71308
eng
Reproducció del document publicat a: https://doi.org/10.1111/jonm.13362
Journal of Nursing Management, 2021, vol. 0, p. 1-9
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd, (c) Tort-Nassarre et al., 2021
Wiley
oai:repositori.udl.cat:10459.1/703542021-01-29T00:24:15Zcom_10459.1_233com_10459.1_2com_10459.1_237col_10459.1_280col_10459.1_354
"Es algo que no se cuenta": relatos sobre pérdidas gestacionales en Youtube
Visa Barbosa, Mariona
Briones Vozmediano, Erica Tula
Aborto
Pérdida gestacional
Maternidad
Duelo
Experiencias personales
Análisis de contenido
Youtube
Objetivo: Analizar el contenido de los videos testimoniales sobre pérdidas gestacionales en Youtube en español para poder concluir si las narrativas se enmarcan en la lógica biomédica moderna o posmoderna de vivir esta situación de acuerdo a los postulados de Frank y Bauman. Métodos: Búsqueda sistemática de los vídeos en español desde 2011 a mayo de 2019, que contuvieran en su título las palabras clave "aborto" o "perdida gestacional", y que tuvieran más de 100.000 visualizaciones en Youtube desde su publicación, como criterios de inclusión. Visualización de los vídeos para su posterior análisis de contenido para detallar las características del canal, los motivos para contar la experiencia, el momento en que se cuentan, la interacción existente con las seguidoras, las etapas que se narran sobre el suceso y el lenguaje utilizado para relatarlo. Resultados: Se encontraron nueve youtubers que cumplieron los criterios de inclusión, y un total de diez vídeos que recogían relatos sobre pérdidas gestacionales. Sólo dos de los nueve canales estaban centrados exclusivamente en la maternidad. Los relatos se inscriben en una lógica biomédica posmoderna, por la necesidad manifiesta de explicar el suceso online, el reconocimiento de la fase del duelo, y la poca presencia del lenguaje de la supervivencia. Conclusiones: Este estudio muestra que la necesidad de explicar la experiencia online responde a la decisión de visibilizarla y de servir de apoyo a otras mujeres. Los resultados de este estudio pueden ser de utilidad para los/as profesionales de Enfermería que en su práctica clínica tienen contacto directo con las mujeres que han sufrido pérdidas gestacionales.
2021-01-28T13:11:26Z
2021-01-28T13:11:26Z
2021-01-28T13:11:26Z
2020-07-01
info:eu-repo/semantics/article
https://doi.org/10.6018/eglobal.394321
030285
1695-6141
http://hdl.handle.net/10459.1/70354
spa
Reproducció del document publicat a: https://doi.org/10.6018/eglobal.394321
Enfermeria Global, 2020, vol. 19, num. 3, p. 193-213
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nd-nd/3.0/es
cc-by-nd-nc (c) Servicio de Publicaciones, Universidad de Murcia, 2020
Servicio de Publicaciones, Universidad de Murcia
oai:repositori.udl.cat:10459.1/595632024-02-15T08:36:51Zcom_10459.1_237com_10459.1_2col_10459.1_354
Cumplimiento de las recomendaciones sobre actividad física en personas hipertensas asistidas en atención primaria
Guitard Sein-Echaluce, Ma. Luisa
Torres Puig-gros, Joan
Farreny Justribó, Divina
Gutiérrez Vilaplana, Josep M.
Martínez Orduna, Miguela
Artigues i Barberà, Eva María
Hipertensión
Actividad física
Actitud frente a la salud
Consejo Estilo de vida
Objetivo: Determinar la prevalencia de cumplimiento de las recomendaciones de actividad física en la
población hipertensa del Área de Salud de Lleida y los factores asociados.
Métodos: Estudio transversal en personas hipertensas adultas. La variable dependiente fue el cumplimiento
de las recomendaciones medido con el cuestionario Minnesota; las independientes fueron las
características sociodemográficas, la información recibida y las actitudes frente a la actividad física.
Resultados: Participaron 786 personas hipertensas de 66,0 ± 10,2 a˜nos; el 53,9% eran mujeres. Cumplieron
las recomendaciones el 64,3% (intervalo de confianza del 95% [IC95%]: 60,9-67,6): el 65,2% (IC95%: 60,2-
70,0) de los hombres y el 63,4% (IC95%: 58,8-67,9) de las mujeres. Un mayor cumplimiento se asoció con
la edad en los hombres y con residir en el ámbito rural en las mujeres. Tener ocupación no remunerada
y buena actitud hacia la realización de actividad física se asociaron con mayor cumplimiento en ambos
sexos. No se observó asociación con el número de consejos recibidos los últimos 6 meses.
Conclusiones: Más de la mitad de la población hipertensa cumple las recomendaciones. Para mejorar el
nivel de actividad física puede recomendarse una prescripción individualizada según la actitud hacia ésta.
2017-05-03T08:40:03Z
2017-05-03T08:40:03Z
2017-05-03T08:40:03Z
2013
article
https://doi.org/10.1016/j.gaceta.2012.11.004
019543
0213-9111
http://hdl.handle.net/10459.1/59563
spa
Reproducció del document publicat a https://doi.org/10.1016/j.gaceta.2012.11.004
Gaceta Sanitaria, 2013, vol. 27, núm. 4, p. 365–368
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) SESPAS, 2011
Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)
oai:repositori.udl.cat:10459.1/706582021-03-04T00:26:46Zcom_10459.1_237com_10459.1_2col_10459.1_354
Characteristics and Circumstances of Falls in the Community-Dwelling Older Adult Population
Molés Julio, María Pilar
Lavedán, Ana
Botigué, Teresa
Masot, Olga
Esteve Clavero, Aurora
Maciá Soler, Loreto
Falls
Characteristics
Elderly
Community
Objective: The study aimed to describe the characteristics and circumstances of falls in the community-dwelling older adult population. Design: This was a cross-sectional observational and descriptive study involving primary health care centers in Lleida and Castellón de la Plana, Spain. Randomized sampling was used to include 966 individuals aged 75 years or older residing in single-family homes and in possession of a health care card. Data were obtained using the Survey on Fragility in Older People in Lleida (FRALLE survey). Study variables included the occurrence of falls in the past year and fall characteristics such as whether it was a first or successive fall, cause, season, and time of the day the fall occurred, whether the respondent fell flat on the ground, and time the participant remained on the floor. Other variables involved the circumstances of the fall, including the general location of the fall and specific location within the home if applicable, lighting/weather conditions, objects which may have precipitated the fall, floor conditions, and type of footwear. Results: The prevalence of falls was 25.9% with regard to the previous year, with 70% of these participants reporting having fallen previously. Falls most often occurred by accident, during the daytime, and in the winter. Variables that showed statistical significance with regard to age group were: falling flat on the ground (P = .031), fall location (P = .000), presence of an object favoring the fall (P = .039), floor conditions (P = .011), and type of footwear (P = .029). By sex, variables that showed statistical significance included the need for assistance to get up (P = .045) and type of footwear (P = .028). Conclusions: The prevalence of falls was found to be similar in the studied cities. The results show the most common characteristics and circumstances of falls in older adults in the community, making it possible to guide future preventive strategies.
2021-03-03T09:28:36Z
2021-03-03T09:28:36Z
2021-03-03T09:28:36Z
2020-12-01
info:eu-repo/semantics/article
https://doi.org/10.1177/2150132720940508
030564
2150-1327
http://hdl.handle.net/10459.1/70658
eng
Reproducció del document publicat a https://doi.org/10.1177/2150132720940508
Journal of Primary Care & Community Health, 2020, vol. 11, p. 1-17
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc/4.0/
cc-by-nc (c) Molés Julio, María Pilar et al., 2020
Sage
oai:repositori.udl.cat:10459.1/720842023-10-27T10:41:08Zcom_10459.1_237com_10459.1_2col_10459.1_354
Prospective Associations between Maternal and Child Diet Quality and Sedentary Behaviors
Juton, Charlotte
Lerin, Carles
Homs, Clara
Casas Esteve, Rafael
Berruezo, Paula
Cárdenas Fuentes, Gabriela
Fitó, Montserrat
Grau, Maria
Estrada, Lidia
Gómez Santos, Santiago Felipe
Schröder, Helmut
Mothers
Children
Diet quality
Sedentary behaviors
Prospective associations
As the most likely primary caregivers, mothers are an integral part of children’s social influence and are therefore greatly involved in shaping their children’s behaviors. The objectives were to determine the prospective associations between maternal and child diet quality and sedentary behaviors. This study, within the framework of a community-based intervention study, included 1130 children aged 8–10 years and their mothers. The study was carried out during two academic years (2012/2014) with a mean follow-up of 15 months. Exposure and outcome variables were measured at baseline and follow-up, respectively. Diet quality was assessed by the KIDMED questionnaire and the short Diet Quality Screener, respectively. Sedentary behaviors were determined by standardized questions of sedentary behaviors. Maternal consumption of fruits, vegetables, fish, legumes, pasta/rice, dairy products, nuts and baked goods were positively associated (p < 0.05) with the corresponding child behavior. Multiple linear regression models adjusted for sex, age, maternal education and intervention group revealed significant cross-sectional (p < 0.005) and prospective (p < 0.01) associations between maternal and child overall diet quality and sedentary behaviors. Maternal diet quality and sedentary behaviors were predictive for these lifestyle behaviors in children.
2021-10-18T08:29:52Z
2021-10-18T08:29:52Z
2021-10-18T08:29:52Z
2021
info:eu-repo/semantics/article
https://doi.org/10.3390/nu13051713
031968
2072-6643
http://hdl.handle.net/10459.1/72084
eng
Reproducció del document publicat a https://doi.org/10.3390/nu13051713
Nutrients, 2021, vol. 13, núm. 5, 1713
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Juton et al., 2021
MDPI
oai:repositori.udl.cat:10459.1/713042022-11-08T08:20:18Zcom_10459.1_71305com_10459.1_2com_10459.1_237col_10459.1_71306col_10459.1_354
Self-perception and self-acceptance are related to unhealthy weight control behaviors in catalan adolescents: a cross-sectional study
Pollina Pocallet, Mercè
Artigues i Barberà, Eva María
Tort Nasarre, Glòria
Sol, Joaquim
Azlor, Laura
Foguet Boreu, Quintí
Ortega Bravo, Marta
Adolescence
Body image
Body dissatisfaction
Adolescent behavior
Adolescence is associated with a higher vulnerability that may result in a high dissatisfaction,
the practice of unhealthy weight-control behaviors (UWCB) and, eventually, the onset of
body image-related mental disorders. These factors are strongly associated with the social context, so
it is important to characterize them in local or regional studies. To assess the relationship between
body image and UWCB presence, a cross-sectional study was performed among 2496 schooled
adolescents from Lleida (Spain) between 2017 and 2019. Their perceived and desired images were
evaluated and compared with the real image in order to obtain the body distortion and the body
dissatisfaction and relate them with UWCB. The studied individuals perceived themselves thinner
than they actually were, with no differences between males and females. However, differences were
found regarding body dissatisfaction, showing that females desired to be thinner, while males desired
a more corpulent body image. Furthermore, one out of ten individuals reported UWCB, with higher
prevalence among females. UWCB was associated with a desire to be thinner and with distorted body
images. It is essential to work on self-perception and self-acceptance in early adolescence from an
interdisciplinary perspective at educational, social and health levels to promote health in adolescence.
2021-05-21T12:55:30Z
2021-05-21T12:55:30Z
2021-05-21T12:55:30Z
2021-05
info:eu-repo/semantics/article
https://doi.org/10.3390/ijerph18094976
031153
1661-7827
http://hdl.handle.net/10459.1/71304
eng
Reproducció del document publicat a: https://doi.org/10.3390/ijerph18094976
International Journal of Environmental Research and Public Health, 2021, vol. 18, núm. 9, 4976
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by, (c) Pollina et al., 2021
MDPI
oai:repositori.udl.cat:10459.1/4632892023-05-09T03:00:53Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Clinical and Sociodemographic Profile of Psychomotor Agitation in Mental Health Hospitalisation: A Multicentre Study
Garrote Cámara, María Elena
Gea Caballero, Vicente
Sufrate Sorzano, Teresa
Rubinat, Esther
Santos Sánchez, José Ángel
Cobos Rincón, Ana
Santolalla Arnedo, Iván
Juárez Vela, Raúl
Mental health
Nursing
Psychomotor agitation
Severe mental disorder
Psychomotor agitation is characterised by an increase in psychomotor activity, restlessness and irritability. People with psychomotor agitation respond by over-reacting to both intrinsic and extrinsic stimuli, experiencing stress and/or altered cognition. The objective of this study is to assess the clinical and sociodemographic profile of psychomotor agitation in patients with severe mental disorders. The study was carried out in Spain by means of multicentre cross-sectional convenience sampling involving 140 patients who had been admitted to psychiatric hospital units and had experienced an episode of psychomotor agitation between 2018 and 2021.Corrigan’s Agitated Behaviour Scale was used to assess psychomotor agitation. The results show that the predominant characteristic in psychomotor agitation is aggressiveness, which is also the most reported factor in patients with severe mental disorder. Patients who also have anxiety develop psychomotor agitation symptoms of moderate/severe intensity. The clinical and sociodemographic profile found in our study is consistent with other studies on the prevalence of psychomotor agitation.
2023-05-08T10:30:23Z
2023-05-08T10:30:23Z
2023-05-08T10:30:23Z
2022
info:eu-repo/semantics/article
https://doi.org/10.3390/ijerph192315972
033136
1660-4601
1661-7827
https://repositori.udl.cat/handle/10459.1/463289
eng
Reproducció del document publicat a: https://doi.org/10.3390/ijerph192315972
International Journal of Environmental Research and Public Health, 2022, vol. 19, núm. 23
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c)Authors, 2022
Attribution 4.0 International
MDPI
oai:repositori.udl.cat:10459.1/4632082023-04-24T09:30:43Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_56964col_10459.1_354col_10459.1_59998col_10459.1_57662
Upper crossed syndrome in secondary school students: A mixed-method study
Iglesia, Llanos de la
Bravo Navarro, Cristina
Rubí Carnacea, Francesc
Focus groups
Forward head posture
Forward shoulder posture
Postural balance
Posture
Upper crossed syndrome
Objective: The study objectives were to identify the prevalence of upper crossed syndrome (UCS) and its associated factors in a population of Spanish adolescents, and to explore these associations through focus groups. Methods: The study used a sequential explanatory mixed method design. The quantitative phase consisted of a cross-sectional study in which 45 students underwent photogrammetry measurements and evaluations with the Kiddo-KINDL and VISA-TEEN questionnaires. Subsequently, several focus groups were conducted to discuss the quantitative results. Results: The results indicated a 37.8% prevalence of UCS, a 48.9% prevalence of forward head posture (FHP) and an 80% prevalence of forward shoulder posture (FSP). A positive FSP was indicated by an angle represented by the intersection of the line between the midpoint of the humerus and the spinous process of C7 of <52°. FSP was significantly higher in boys (mean [M] = 43.59, standard deviation [SD] = 6.9) than in girls (M = 47.98, SD = 6.33; p < 0.05). Boys showed significant moderate associations of FSP with body mass index (BMI) (r = −0.48, p < 0.05) and hygiene habits (r = −0.46, p < 0.05), and of FHP with worse use of technology (r = 0.53, p < 0.05). Those with UCS showed significant differences in school performance (M = 47.22, SD = 8.33, p < 0.05). Analysis of the qualitative results led to the identification of 33 codes and five categories. Conclusions: UCS was associated with factors such as BMI, school performance, use of technology and physical activity. Correcting posture in adolescence was generally believed to be necessary. Physical exercise and postural health were considered highly important among adolescents.
2023-04-18T08:15:49Z
2023-04-18T08:15:49Z
2023-04-18T08:15:49Z
2023-01-24
info:eu-repo/semantics/article
https://doi.org/10.1016/j.jtumed.2023.01.008
033013
1658-3612
https://repositori.udl.cat/handle/10459.1/463208
en
Reproducció del document publicat a https://doi.org/10.1016/j.jtumed.2023.01.008
Journal of Taibah University Medical Sciences, 2023, vol. 18, núm. 4, p. 894-907
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd, (c) Iglesia et al., 2023
Attribution-NonCommercial-NoDerivatives 4.0 International
Elsevier
oai:repositori.udl.cat:10459.1/4645272023-11-16T03:00:52Zcom_10459.1_237com_10459.1_2col_10459.1_354
Evolution of Scientific Production on Phlebitis Secondary to Vascular Access: A 71-Year Bibliometric Analysis
Torné Ruiz, Alba
García Expósito, Judith
Bonet Augé, Aïda
Masot, Olga
Roca Llobet, Judith
Selva Pareja, Laia
Bibliometrics
Catheter
Phlebitis
Thrombophlebitis
Vascular access devices
Phlebitis secondary to vascular access is one of the most frequent complications in hospital care. This study aims to evaluate the scientific activity related to this complication through a bibliometric analysis. The search was performed on a single day, 23 January 2023, to ensure the inclusion of all articles and to avoid bias caused by the daily updates of the open access database. The data were recovered from Web of Science. The sample comprised a total of 1596 publications that met the inclusion criteria. The United States was the country with the largest number of publications, citations, and international cooperation with respect to phlebitis and vascular access. The most important author was Rickard CM. Of all the publications selected, a total of 1586 (99.37%) were original articles. The highest number of articles on the subject was recorded in 2021, and the most common research areas were General Internal Medicine and Nursing. The analysis of the clusters (KeyWords Plus and Author keywords) and co-occurrences enabled identification of areas of interest and their possible development. These areas included the prevention, risk, and associated complications of catheter-associated phlebitis. Other aspects that are a priori relevant, such as assessment and treatment, were found to be little investigated. While research on this subject is increasing internationally, more collaborations are still required between researchers, as well as new approaches related to the management of catheter-associated phlebitis. The dimensions that should continue to be considered in new research, according to the findings of this review, are instruments for phlebitis assessment and their validation, and the treatments to follow in the case of established phlebitis. For this reason, the bibliometric information presented is key for new or consolidated researchers in the field, especially because of its practical and clinical implications for patient safety.
2023-11-15T08:22:12Z
2023-11-15T08:22:12Z
2023-11-15T08:22:12Z
2023-11-13
info:eu-repo/semantics/article
https://doi.org/10.3390/nursrep13040135
033664
2039-4403
https://repositori.udl.cat/handle/10459.1/464527
eng
Reproducció del document publicat a: https://doi.org/10.3390/nursrep13040135
Nursing Reports, 2023, vol. 13, núm. 4, p. 1635-1647
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/4.0/
cc-by (c) the authors, 2023
MDPI
oai:repositori.udl.cat:10459.1/729742023-11-06T10:57:08Zcom_10459.1_237com_10459.1_2col_10459.1_354
Exploring a Common Data Element for International Research in Long-Term Care Homes: A Measure for Evaluating Nursing Supervisor Effectiveness
McGilton, Katherine S.
Backman, Annica
Boscart, Veronique
Chu, Charlene H.
Gea Sánchez, Montserrat
Irwin, Constance
Meyer, Julienne
Spilsbury, Karen
Zheng, Nancy
Zúñiga, Franziska
Long term care
Nursing
Supervisor effectiveness
Common data element
International research
The aim of this study is to recommend a common data element (CDE) to measure supervisory effectiveness of staff working in LTC homes that can be used in international research. Supervisory effectiveness can serve as a CDE in an effort to establish an international, person-centered LTC research infrastructure in accordance with the aims of the WE-THRIVE group (Worldwide Elements to Harmonize Research in Long Term Care Living Environments). A literature review was completed and then a panel of experts independently reviewed and prioritized appropriateness of the measures with mindfulness of their potential applications to international LTC settings. The selection of a recommended CDE measure was guided by the WE-THRIVE group’s focus on capacity rather than deficits, the expected availability of internationally comparable data and the goal to provide a short, ecologically viable measurement, specifically for low- and middle-income countries. Two measures were considered as the CDE for supervisory effectiveness, Benjamin Rose Relationship Scale and the Supervisory Support Scale; however, given that the latter measure has been translated in Spanish and Chinese and has been tested with nursing assistants in both of these countries with good psychometric properties, our group recommends it as the CDE going forward.
2022-02-10T13:48:48Z
2022-02-10T13:48:48Z
2022-02-10T13:48:48Z
2020
info:eu-repo/semantics/article
https://doi.org/10.1177/2333721420979812
033503
2333-7214
http://hdl.handle.net/10459.1/72974
eng
Reproducció del document publicat a: https://doi.org/10.1177/2333721420979812
Gerontology and Geriatric Medicine, 2020, vol. 6, p.1-9
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc/4.0/
cc-by-nc (c) Authors, 2020
SAGE Publications
oai:repositori.udl.cat:10459.1/600132017-07-12T00:15:12Zcom_10459.1_237com_10459.1_2col_10459.1_354
Determination of functional fitness age in women aged 50 and older
Latorre-Rojas, Edgar Johani
Prat Subirana, Joan Antoni
Peirau i Terés, Xavier
Mas Alòs, Sebastià
Beltrán Garrido, José Vicente
Planas i Anzano, Antoni
Disability
Elderly
Exercise
Fitness assessment
Health outcomes
Senior Fitness Test
Background: The construction of useful and attainable indicators of fitness assessment deserves special attention in clinical practice. We aimed
to construct an indicator of the functional fitness age (FFA) of women aged 50 and older by an equation using fitness outcomes and its correlation
with chronological age (CA) and to analyze the external validity of our results by comparing our sample to others.
Methods: Participants (n = 459, age: 70.3 ± 7.9 years, mean ± SD) were evaluated using the Senior Fitness Test battery. We applied a multiple
regression and a subsequent Holt’s exponential smoothing to analyze the outcomes.
Results: We obtained a statistically significant expression of F = 328.384; p < 0.0005 in which the coefficients of the equation explain
81% of variability (R 2corrected = 0.813). The equation correlates fitness assessment in women aged 50 and over with regards to CA:
FFA = 40.146 + 0.350 × CS (stand) − 0.714 × AC (rep) − 0.110 × ST (step) − 0.177 × CSR (cm) − 0.101 × BS (cm) + 8.835 × FUG (s) where CS
means chair stand test, AC means arm curl test, ST means 2 min step test, CSR means chair sit-and-reach test, BS means back scratch test, FUG
means 8-foot up-and-go test. We compared this index with percentiles distribution from our sample and from other studies.
Conclusion: We suggest the use of FFA as a valid indicator of fitness in adult and senior women as well as a useful motivational tool to undertake
exercise programs.
2017-07-10T08:09:50Z
2017-07-10T08:09:50Z
2017-07-10T08:09:50Z
2017
article
https://doi.org/10.1016/j.jshs.2017.01.010
025529
2095-2546
http://hdl.handle.net/10459.1/60013
eng
Reproducció del document publicat a https://doi.org/10.1016/j.jshs.2017.01.010
Journal of Sport and Health Science, 2017, vol. 20, p. 1–7
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) Elsevier, 2017
Elsevier
oai:repositori.udl.cat:10459.1/712732021-05-15T00:21:12Zcom_10459.1_237com_10459.1_2col_10459.1_354
El valor de la persona desde una perspectiva personalista en el estilo de cuidados Juandediano
Martínez Rodríguez, Laura
Moreno Tejero, Juan José
Cuidados
Enfermería
Persona
Personalismo
Modelo
San Juan de Dios
Care
Nursing
Person
Personalism
Care model
Sant John of Good
Justificación: La transformación de un paciente pasivo a un paciente protagonista de su historia, en un ser subsistente, autónomo, libre y trascendente parece una trasformación actual y contemporánea, pero si revisamos la historia del ejercicio enfermero, podemos encontrar un referente en la persona de San Juan de Dios. Objetivo: El objetivo de este trabajo es identificar los elementos personalistas en la propuesta de cuidados enfermeros de San Juan de Dios, que configuran el valor de la persona atendida. Metodología: La metodología utilizada para esta investigación se enmarca bajo el paradigma hermenéutico interpretativo crítico desde la perspectiva filosófica del personalismo articulándose en dos pilares fundamentales: el análisis textual de las fuentes originales de San Juan de Dios y una revisión de los autores personalistas más relevantes. Resultados: El inalienable valor de la persona se explicita a través de las siguientes características: La persona como valor, el carácter autónomo, originario y estructural de la afectividad, las relaciones interpersonales, la relevancia de la libertad y el amor, la corporeidad y la trascendencia. Conclusión: Cualquier reflexión sobre la persona es buena para una profesión que trata y cuida al ser en su estado de vulnerabilidad, buscando siempre el bien para éste, ya que fundamenta cualquier intervención, acción o proposición.
ts own history, becoming a lasting, autonomous, free and transcendental being, may seem like a recent event. However, the history of nursing practice reveals a pioneer in the person of St John of God. Aim: The aim of this study is to identify the personalist elements in St John of God´s model of nursing care that give value to the person as subject of care. Methodology: This research was undertaken from a critical interpretive-hermeneutical approach, and under the umbrella of the personalist philosophy, and is based on two main pillars: literary analysis of St John of God´s primary sources, and a secondary review of the main personalist authors. Results: the inalienable value of the person becomes explicit if the work of St John of God and emerges through the following elements: the person as a value, the autonomous, original and structural character of affectivity, interpersonal relationships, the importance of freedom, love, and the corporeal and transcendental nature of the person. Conclusion: Any process of reflection about the concept of person is beneficial for a profession that treats and cares people when they are vulnerable in an attempt to do them good, as it allows nursing professionals to fundament any interventions, actions or propositions.
2021-05-14T09:34:38Z
2021-05-14T09:34:38Z
2021-05-14T09:34:38Z
2016
info:eu-repo/semantics/article
031045
1699-6011
http://hdl.handle.net/10459.1/71273
spa
Reproducció del document publicat a: http://www.index-f.com//temperamentum/tn23/t10605.php
Temperamentvm, 2016, vol. 12, núm. 23
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc/4.0/
cc-by-nc, (c) Fundación Index, 2016
Fundación Index
oai:repositori.udl.cat:10459.1/844732022-12-06T00:07:11Zcom_10459.1_237com_10459.1_2com_10459.1_47453com_10459.1_240col_10459.1_354col_10459.1_59998col_10459.1_333
Association of α-klotho with subclinical carotid atherosclerosis in subjects with type 1 diabetes mellitus
Castelblanco Echavarría, Esmeralda
Hernández García, Marta
Alonso, Núria
Ribes Betriu, Aina
Real, Jordi
Granado Casas, Minerva
Rossell, Joana
Rojo López, Marina Idalia
Dusso Rosso, Adriana
Julve, Josep
Mauricio Puente, Dídac
Type 1 diabetes mellitus
Mineral metabolism
Fibroblast growth factor 23
α-klotho
Background Compelling evidence suggests that the fbroblast growth factor 23 (FGF23) / α-klotho axis is impaired in subjects with diabetes mellitus. We examined the relationship between parameters related to calcium/phosphate homeostasis, including FGF23 and α-klotho, and subclinical carotid atherosclerosis burden in type 1 diabetes mellitus (T1D) subjects.
Methods This cross-sectional study involved 226 subjects with T1D and 147 age-, sex- and plaque matched, nondiabetic (non-T1D) subjects, both with normal renal function. Carotid ultrasound was performed to determine thepresence and burden of atheromatous plaques. Concentrations of the intact form of FGF23 and α-klotho were assessed by ELISA. Calcium, phosphate, parathyroid hormone, and vitamin D levels were also determined. Negative binomial regression models were used to examine relationship between parameters studied and subclinical carotid atherosclerosis.
Results Only FGF23 was increased in T1D compared with non-diabetic subjects (> 2-fold; p<0.05). α-klotho was higher in subjects with subclinical carotid atherosclerosis (1.4-fold, p<0.05). Regression analysis revealed that the log α-klotho concentration was positively associated with the presence of subclinical carotid atherosclerosis both in T1D subjects (incidence rate ratio [IRR]: 1.41; 95% confdence interval [CI], 1.06–1.89; p<0.05) and in non-T1D subjects (IRR: 1.65; 95% CI, 1.02–2.75; p<0.05). The models also showed that age, smoking and albuminuria-to-creatinine ratio were positively associated with subclinical carotid atherosclerosis in T1D subjects. Interestingly, sex-related protection against plaque was also revealed in T1D women.
Conclusion Higher α-klotho was associated with subclinical carotid atherosclerotic in the absence of kidney dysfunction. This fnding also points to a new pathophysiological pathway involved in the development and progression of this complication.
2022-12-05T10:17:35Z
2022-12-05T10:17:35Z
2022-12-05T10:17:35Z
2022
info:eu-repo/semantics/article
https://doi.org/10.1186/s12933-022-01640-3
1475-2840
http://hdl.handle.net/10459.1/84473
eng
Reproducció del document publicat a: https://doi.org/10.1186/s12933-022-01640-3
Cardiovascular Diabetology, 2022, vol. 21, núm. 1
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) authors, 2022
BMC
oai:repositori.udl.cat:10459.1/715792021-07-10T00:11:58Zcom_10459.1_237com_10459.1_2com_10459.1_241col_10459.1_354col_10459.1_30324
Metabolic risk management, physical exercise and lifestyle counselling in low-active adults: controlled randomized trial (BELLUGAT)
Ensenyat Solé, Assumpta
Espigares Tribó, Gemma
Machado, Leonardo
Verdejo Amengual, Francisco José
Rodríguez Arregui, Rosa
Serrano Casasola, José Carlos Enrique
Miret, Marta
Galindo Ortego, Gisela
Blanco Nespereira, Alfonso
Marsal Mora, Josep Ramon
Sarriegui, Susana
Sinfreu Bergués, Xènia
Serra Payà, Noemí
Metabolic risk management
Physical exercise
Background: The primary aim of this study is to evaluate the effectiveness of different doses (intensity) of supervised
exercise training — concomitant with lifestyle counselling — as a primary care intervention tool for the management
of metabolic syndrome risk factors in low-active adults with one or more such factors (programme name in Catalan:
Bellugat de CAP a peus).
Methods/Design: Three-arm, randomized controlled clinical trial implemented in the primary care setting, with a
duration of 40 weeks (16 weeks intervention and 24-week follow-up).
Adults aged 30 to 55 years with metabolic risk factors will be randomized into three intervention groups: 1) aerobic
interval training (16 supervised training lessons) plus a healthy lifestyle counselling programme (6 group and 3 individual
meetings); 2) low-to-moderate intensity continuous training (16 supervised training lessons) plus the same counselling
programme; or 3) the counselling- programme without any supervised physical exercise.
The main output variables assessed will be risk factors for metabolic syndrome (waist circumference, blood pressure, and
levels of plasma triglycerides, high-density lipoproteins and glucose), systemic inflammation, cardiorespiratory
fitness, physical activity and sedentary behaviour, dietary habits, health-related quality of life, self-efficacy and
empowerment. Economic factors will also be analysed in order to determine the cost-effectiveness of the programme.
These variables will be assessed three times during the study: at baseline, at the end of the intervention, and at followup.
We estimate to recruit 35 participants per group.
Discussion: The results of this study will provide insight into the immediate and medium-term effects on metabolic risk
and lifestyle of a combined approach involving aerobic interval training and a multidisciplinary behavioural intervention.
If effective, the proposed intervention would provide both researchers and practitioners in this field with a platform on
which to develop similar intervention programmes for tackling the repercussions of an unhealthy lifestyle.
Trial registration: Clinical trials.gov. NTC02832453. Registered 6 July 2016 (retrospectively registered).
2021-07-09T12:54:08Z
2021-07-09T12:54:08Z
2021-07-09T12:54:08Z
2017
info:eu-repo/semantics/article
https://doi.org/10.1186/s12889-017-4144-8
025579
1471-2458
http://hdl.handle.net/10459.1/71579
eng
Reproducció del document publicat a: https://doi.org/10.1186/s12889-017-4144-8
BMC Public Health, 2017, vol. 17, art. 257
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Ensenyat et al., 2017
BMC
oai:repositori.udl.cat:10459.1/836662023-05-08T12:46:15Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study
Blanco Blanco, Joan
Albornos Muñoz, Laura
Costa Menen, Maria Àngels
García-Martínez, Ester
Rubinat, Esther
Martínez Soldevila, Jordi
Moreno-Casbas, Maria Teresa
Bays Moneo, Ana Beatriz
Gea Sánchez, Montserrat
Accidental falls
Older adults
Otago exercise program
Physical functional performance
Sex differences
Falls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to examine the prevalence of falls in Spanish people aged 65−80 years still living at home. The secondary aims included examining the overall sociodemographic and clinical variables associated with a history of falls and then stratifying these findings by sex. We also aimed to determine the differences between sexes with regard to the history and consequences of falls and to evaluate associations between fall history and functional performance tests. The 747 older adults had all participated in the otago exercise program, which is a progressive home program of strength, balance, and endurance exercises. They were recruited by nurses in 21 primary care centers in 10 Spanish provinces between September 2017 to December 2018. The participants' mean age was 72.2 (SD: 4.3) years, and 67% were women. We recorded sociodemographic and clinical variables, functional performance test results, and any falls and/or injuries in the last 12 months. We found that 32% had fallen, 36% of those had fallen more than once, and 48% had sustained injuries when they fell. The bivariate analysis showed that women had more than twice the odds of falling than men and that living alone and being obese or overweight increased the odds of a fall, although living alone was not associated with falls in the multivariable analysis. Our results could guide the development of risk-specific fall prevention programs to prevent disabilities in older people.
2022-07-22T12:20:59Z
2022-07-22T12:20:59Z
2022-07-22T12:20:59Z
2022
info:eu-repo/semantics/article
https://doi.org/10.1002/nur.22249
032522
0160-6891
1098-240X
http://hdl.handle.net/10459.1/83666
spa
Reproducció del document publicat a : https://doi.org/10.1002/nur.22249
Research in Nursing and Health, 2022, vol. 45, p. 433–445
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc/4.0/
cc-by-nc (c) Blanco et al., 2022
Wiley
oai:repositori.udl.cat:10459.1/676392019-12-17T14:00:06Zcom_10459.1_237com_10459.1_2col_10459.1_354
The Religious Nursing in the Lleida of the XIX century: the case of Daughters of Charity of Saint Vincent of Paul
Tejero Vidal, Lorena Lourdes
The city of Lleida that was reborn after the war of independence 1808-1814 had a diminished population and many wounded soldiers who remained in the city’s hospitals. In addition, there was a great lack of supply in the military hospitals of the seminary, general hospital and San Luis within the “Corregimiento” to which the city of Lleida Belonged. Fact that led the town hall to address the was commissioner of the French Army General Henriot asking for help. To correct these deficiencies, during that month of may an auction of the bread supply was carried out ,
every neighbor was required to provide an ounce of threads for the hospitals, some 300 mattresses were requisitioned for the comfort of the patients and supplies were provided for the city’s military hospital.
2019-12-02T11:51:55Z
2019-12-02T11:51:55Z
2019-12-02T11:51:55Z
2019-11-27
info:eu-repo/semantics/article
029244
http://hdl.handle.net/10459.1/67639
eng
Reproducció del document publicat a: https://biomedscis.com/index.php
Open Access Journal of Biomedical Science, 2019, vol. 1, núm. 2, p. 78-82
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc/4.0/es
cc-by-nc (c) Open Access Journal of Biomedical Science, 2019
Open Access Journal of Biomedical Science
oai:repositori.udl.cat:10459.1/843762023-03-08T10:53:22Zcom_10459.1_56965com_10459.1_2com_10459.1_237com_10459.1_244col_10459.1_57707col_10459.1_354col_10459.1_363
Polyphenol Intake in Pregnant Women on Gestational Diabetes Risk and Neurodevelopmental Disorders in Offspring: A Systematic Review
Salinas-Roca, Blanca
Rubió Piqué, Laura
Montull-López, Anna
Pregnant women
Polyphenol
Gestational diabetes
Fetal neurodevelopment
Transgenerational health
The intake of foods containing polyphenols can have a protective role to avoid comorbidities during pregnancy and, at the same time, promote transgenerational health. This review aims to describe the effect of polyphenol intake through supplements or polyphenol-rich foods during pregnancy on the incidence and evolution of gestational diabetes mellitus (GDM), as well as the link with the neurodevelopment of the fetus. Using PRISMA procedures, a systematic review was conducted by searching in biomedical databases (PubMed, Cinahl and Scopus) from January to June 2022. Full articles were screened (n = 419) and critically appraised. Fourteen studies were selected and were divided into two different thematic blocks considering (i) the effect of polyphenols in GDM and (ii) the effect of GDM to mental disorders in the offspring. A positive relationship was observed between the intake of polyphenols and the prevention and control of cardiometabolic complications during pregnancy, such as GDM, which could be related to thwarted inflammatory and oxidative processes, as well as neuronal factors. GDM is related to a greater risk of suffering from diseases related to neurodevelopment, such as attention deficit hyperactivity disorder, autism spectrum disorder and learning disorder. Further clinical research on the molecule protective mechanism of polyphenols on pregnant women is required to understand the transgenerational impact on fetal neurodevelopment.
2022-11-27T14:28:13Z
2022-11-27T14:28:13Z
2022-11-27T14:28:13Z
2022
info:eu-repo/semantics/article
https://doi.org/10.3390/nu14183753
2072-6643
http://hdl.handle.net/10459.1/84376
eng
Reproducció del document publicat a https://doi.org/10.3390/nu14183753
Nutrients, 2022, vol. 14, núm. 18, art. 3753.
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Blanca Salinas-Roca et al., 2022
MDPI
oai:repositori.udl.cat:10459.1/712752021-05-15T00:21:14Zcom_10459.1_237com_10459.1_2col_10459.1_354
El ejercicio enfermero de excelencia: aplicación de las virtudes inte-lectuales de Aristóteles
Martínez Rodríguez, Laura
Aristóteles
Excelencia profesional
Ética a Nicómaco
Filosofía
Virtudes
Virtues
Aristotle
Nursing
Professional excellency
Philosophy
Nicomachean ethics
Objetivo principal: El objetivo que proponemos en este artículo persigue fundamentar el ejercicio enfermero de excelencia desde la visión de las virtudes intelectuales de Aristóteles.
Metodología: Para la realización del trabajo se ha recurrido al análisis textual de la Ética a Nicómaco de Aristóteles, bajo el paradigma hermenéutico-interpretativo de las virtudes dianoéticas y su posible aplicación en la práctica enfermera en la actualidad.
Resultados: La pregunta sobre la excelencia profesional se garantiza afirmativamente a partir de la respuesta sobre las virtudes intelectuales que se llevan a cabo en las intervenciones del profesional de enfermería.
Conclusión principal: Alcanzar los bienes internos propios de una práctica exige desarrollar determinados hábitos (virtudes) entendidos como excelencia del carácter. El virtuoso en una profesión es el que pretende alcanzar en ella la excelencia y huye de la mediocridad. Lo exigible a cualquier profesional es que intente ser lo más competente posible, que se esfuerce por alcanzar un grado de excelencia en las aptitudes requeridas para alcanzar el bien interno de esa práctica.
Aim: The aim of this paper is to lay the foundations of excellent nursing practice through Aristotle’s intellectual virtues.
Methods: We used textual analysis of Aristotle’s Nicomachean Ethics under the hermeneutic-interpretive paradigm of dianoetic virtues and their relations hip to excellence in nursing practice.
Results: Professional excellency can be achieved through the intellectual virtues in herent to nursing interventions.
Conclusions: It is essential to develop certain habits (virtues), understood as excellency of character, in order to achieve an internal state of virtue. The virtuous in a profession seeks to achieve excellence and rejects mediocrity. The minimum required from every nursing professional is to strive to be as responsible as possible, and to make an effort to achieve a degree of excellency in the skills required to reach the internal states of virtue in their practice.
2021-05-14T10:52:32Z
2021-05-14T10:52:32Z
2021-05-14T10:52:32Z
2018
info:eu-repo/semantics/article
031046
1699-6011
http://hdl.handle.net/10459.1/71275
spa
Reproducció del document publicat a: http://ciberindex.com/c/t/e11592
Temperamentvm, 2018, vol. 14, p. 1-5
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc/4.0/
cc-by-nc, (c) Fundación Index, 2018
Fundación Index
oai:repositori.udl.cat:10459.1/720512022-12-02T11:01:23Zcom_10459.1_237com_10459.1_2col_10459.1_354
Practical view of the topical treatment of peripheral venous catheter-related phlebitis: A scoping review
García Expósito, Judith
Masot, Olga
Gros Navés, Silvia
Botigué, Teresa
Roca Llobet, Judith
Intravenous infusion
Peripheral venous catheter
Phlebitis
Therapeutic
Topical treatment
Objective: To identify and analyse topical treatments for peripheral venous catheter (PVC)-related phlebitis. Design: The methodological framework used to make this scoping review was developed by Arksey and O'Malley (2005; (International Journal of Social Research Methodology, 8, 2005 and 19)). Data sources: A literature search was performed in various databases such as PubMed, Scopus, CINAHL, Cochrane, Cuiden, Web of Science, WorldWideScience and Joanna Briggs. Additionally, articles from informal sources were incorporated. Review methods: A search and selection were made of experimental, quasi-experimental and pre-experimental studies published between January 2015 and September 2020 that consider the use of topical products for the treatment of hospital in-patients with PVC-related phlebitis. Appraisal of the methodological quality of the study was performed independently by pairs of reviewers on the basis of the Cochrane Collaboration tool. The review was based on the guidelines in the PRISMA-ScR statement. Results: Twenty-two articles were selected (8 randomised controlled trials (RCTs), 12 quasi-RCTs and 2 pre-experimental studies) which considered treatments applied to a total of 2042 adult patients. The topical treatments described were classified into physical measures and phytotherapeutic and pharmacological treatments. The physical measures are easy to apply, but their effectiveness is limited. The main limitation of the phytotherapeutic treatments is their marketing and use in eastern culture. The best performing pharmacological treatment is the application of magnesium sulphate either with or without glycerine. These products can be presented in different pharmaceutical formulas: ointment, solution and oil. Conclusions and relevance to clinical practice: The evidence currently available on this issue is limited and often of dubious methodological rigour. Further studies are required on the treatment and follow-up of intravenous therapy-related phlebitis in different national and international contexts.
2021-10-13T11:00:47Z
2021-10-13T11:00:47Z
2021-10-13T11:00:47Z
2022
info:eu-repo/semantics/article
https://doi.org/10.1111/jocn.15946
031424
0962-1067
http://hdl.handle.net/10459.1/72051
eng
Reproducció del document publicat a: https://doi.org/10.1111/jocn.15946
Journal of Clinical Nursing, 2022 vol., 31, núm. 7-8, p. 783-797
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd © 2021 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd., 2021
Wiley
oai:repositori.udl.cat:10459.1/663852019-05-29T00:11:22Zcom_10459.1_237com_10459.1_2col_10459.1_354
Actividades de aprendizaje tradicionales y nuevas metodologías docentes como la simulación: Valoración de los estudiantes de enfermería
Guitard Quer, Alba
Guitard Sein-Echaluce, Ma. Luisa
Educación en enfermería
Aprendizaje
Estudiantes de enfermería
Simulación
Nursing education
Learning
Nursing students
Simulation
Objetivos: Valorar dificultad y aprendizaje sobre las actividades incluidas en una asignatura de 1er curso del grado de enfermería.
Conocer la opinión sobre la simulación clínica.
Métodos: Estudio descriptivo transversal mediante 2 encuestas de opinión a los 111 estudiantes.
Resultados: Actividades de mayor aprendizaje simulación y seminarios de casos y más difíciles simulación y examen final.
Simulación: Ayuda a pensar críticamente y aprenden al hacer y al observar a sus compañeros.
Aim: Assess the difficulty and learning level of different activities included in the 1st course of nursing degree.
Know the opinion of students on simulation.
Methods: Cross-sectional descriptive study conducting 2 surveys to 111 nursing students.
Results: Higher learning level: simulation and clinical cases seminars
2019-05-28T09:50:27Z
2019-05-28T09:50:27Z
2019-05-28T09:50:27Z
2016
info:eu-repo/semantics/article
2385-6203
http://hdl.handle.net/10459.1/66385
spa
Reproducció del document publicat a https://www.cidui.org/revistacidui/index.php/cidui/article/view/996
Revista del CIDUI, 2016, núm. 3
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Alba Guitard et al., 2016
CIDUI Congrés Internacional de Docència Universitària i Innovació
oai:repositori.udl.cat:10459.1/697612020-11-04T00:27:26Zcom_10459.1_237com_10459.1_2col_10459.1_354
Nuevas normas de GACETA SANITARIA. Mejorando la calidad y la transferencia del conocimiento científico
Negrín Hernández, Miguel
Bermúdez-Tamayo, Clara
García Calvente, Mar
Carrasco Portiño, Mercedes
Hernan, Mariano
Miranda, Juan Jaime
González Zapata, Laura Inés
Briones Vozmediano, Erica Tula
García Amez, Javier
Santillán García, Azucena
Segura, Andreu
Alvarez-Dardet, Carlos
Las actuales normas que establecen los pasos que deben seguir los/las autores/as para publicar en Gaceta Sanitaria fueron elaboradas en el año 20111, y desde entonces se han producido solo pequeñas modificaciones. En 2016, Gaceta Sanitaria fue la primera entidad española en adherirse a la iniciativa REWARD2, liderada por la revista The Lancet3, que tiene por objetivo reducir el desperdicio y mejorar el valor de la investigación científica en el área de la biomedicina. Con la adhesión a REWARD, la revista asumió el compromiso de seguir sus recomendaciones para mejorar la eficiencia y la integridad de los artículos que publica. Muchas de las medidas a adoptar fueron anunciadas en una nota editorial previa4, y es ahora cuando se incorporan definitivamente a las normas de publicación de la revista, que entrarán en vigor a partir del mes de junio de 2020. Los cambios realizados en las normas para la autoría de Gaceta Sanitaria persiguen dos grandes objetivos: 1) garantizar la calidad y la reproducibilidad de los estudios publicados, y 2) facilitar la divulgación del conocimiento científico en ámbitos académicos y no académicos, así como su transferencia a la práctica, a la gestión y a las políticas. A continuación se describen los principales cambios incorporados en las nuevas normas agrupados según estos dos grandes objetivos, y añadiendo un tercero relacionado con cuestiones éticas.
2020-11-03T11:27:30Z
2020-11-03T11:27:30Z
2020-11-03T11:27:30Z
2020-04-28
info:eu-repo/semantics/article
https://doi.org/10.1016/j.gaceta.2020.02.010
030088
0213-9111
http://hdl.handle.net/10459.1/69761
spa
Reproducció del document publicat a: https://doi.org/10.1016/j.gaceta.2020.02.010
Gaceta Sanitaria, 2020, vol. 34, num. 4, p. 313-315
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/3.0/es
cc-by-nc-nd (c) SESPAS, Elsevier, 2020
Elsevier
Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)
oai:repositori.udl.cat:10459.1/706592021-03-04T00:26:58Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
Incidencia de lesiones por presión en unidades de cuidados intensivos pediátricas y neonatales: revisión sistemática (2000-2016)
Torra-Bou, Joan Enric
Pérez-Acevedo, Gemma
Bosch-Alcaraz, Alejandro
García-Fernández, Francisco P.
Sarabia-Lavín, Raquel
Soldevilla Ágreda, J. Javier
Verdú-Soriano, José
Ulceras por presión
UCI Pediátrica
UCI neonatal
Epidemiología
Incidencia
Objetivos: Describir la incidencia de lesiones por presión (LPP) en pacientes pediátricos atendidos en unidades de críticos así como diferentes variables relacionadas con la metodología de su cálculo. Introducción: Las LPP constituyen un serio problema de salud con importantes repercusiones en los pacientes que las sufren. Las UCI pediátricas (UCIP) y neonatales (UCIN) atienden a pacientes en alto riesgo para el desarrollo de LPP. Existen pocos datos sistematizados acerca de la incidencia y variables definitorias de LPP en UCIP y UCIN. Métodos: Revisión sistemática de la literatura científica publicada entre el 1 de Enero de 2000 y el 31 de diciembre de 2016 incluyendo a artículos que reportaban datos sobre incidencia en UCIP o UCIN. Se han incluido trabajos reportando datos sobre LPP relacionadas con el apoyo, con o sin lesiones relacionadas con dispositivos sanitarios; se han excluido los artículos que incluían exclusivamente datos de lesiones relacionadas con dispositivos sanitarios. Resultados: La revisión sistemática ha permitido identificar 27 artículos con un total de 53 reportes de incidencia con información sobre 15 587 pacientes. En el caso de las UCIP, la mediana de la incidencia de lesiones por presión es del 19,4% en los trabajos prospectivos que no incluyen de manera implícita lesiones por presión relacionadas con dispositivos sanitarios y del 16,97% en los que incluyen a la vez lesiones relacionadas con dispositivos sanitarios y lesiones por presión por apoyo de los pacientes. En el caso de las UCIN encontramos unos valores del 3,9 y del 23.58% respectivamente. Conclusiones: Los resultados del presente trabajo permiten definir el alcance de la incidencia de las LPP en pacientes críticos pediátricos y resaltan aspectos relacionados con la metodología utilizada para su cálculo.
Aims:
To describe the incidence and main characteristics of pressure injuries in pediatric patients in intensive care units and some variables related to the methodology for pressure injury incidence calculation.
Background:
Pressure injuries (PI) represent a serious health problem with major consequences
for the patients affected. Neonatal and pediatric ICU (NICU) (PICU) care for patients at high risk of developing pressure injuries. There is a paucity of systematic data on the incidence and defining variables of injuries in PICU and NICU.
Methods:
We conducted a systematic review of the literature published between January 1, 2000 and December 31, 2016, including articles reporting data on the incidence of these injuries in PICU or NICU. We included studies reporting data on pressure injuries related to position, with or without injuries related to medical devices; we excluded studies which only reported data on pressure injuries related to medical devices.
Findings:
We identified 27 articles with a total of 53 reports on incidence and information on 15,587 patients. In the case of PICU, the mean incidence of PI was 19.4% in prospective studies that did not implicitly include PI related to medical devices, and 16.97% in those which included pressure injuries related both to medical devices and position. For NICU, we found values of 3.9% and 23.58% respectively.
Conclusions:
The results of this study shed light on the incidence of pressure injuries in pediatric intensive care patients and highlight aspects related to the methodology used for the calculation of PI incidence.
2021-03-03T09:42:00Z
2021-03-03T09:42:00Z
2021-03-03T09:42:00Z
2020-10-01
info:eu-repo/semantics/article
030528
1134-928X
http://hdl.handle.net/10459.1/70659
spa
Reproducció del document publicat a http://gerokomos.com/wp-content/uploads/2020/10/31-3-2020-180.pdf
Gerokomos. Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica, 2020, vol. 31, num. 3, p. 180-192
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es
cc-by-nc-sa (c) Sociedad Española de Enfermería Geriátrica y Gerontológica, 2020
Sociedad Española de Enfermería Geriátrica y Gerontológica
oai:repositori.udl.cat:10459.1/656932020-12-17T15:07:24Zcom_10459.1_237com_10459.1_2col_10459.1_354
Programa NESTOR de orientación y tutoría universitaria en la Facultad de Enfermería de la Universidad de Lleida
Torner Benet, Ma.Teresa
Jürschik, Pilar
Pons Camps, Patrick
Nuin Orrio, Carmen
Botigué, Teresa
Programa Néstor
Tutores
Talleres
Universidad
Dar a conocer el programa NESTOR dirigido a los alumnos del grado de Enfermería y Fisioterapia de la Universidad de Lleida. Metodología: Los contenidos principales del programa son la sesión de acogida, a los alumnos de nuevo acceso y los talleres y las tutorías que se realizan a lo largo del curso. Conclusiones: Durante el desarrollo del programa el alumno puede encontrar una serie de recursos que le pueden ayudar a un mejor aprovechamiento de los estudios y a su crecimiento personal y profesional.
2019-02-01T08:37:49Z
2019-02-01T08:37:49Z
2019-02-01T08:37:49Z
2014
info:eu-repo/semantics/article
022502
2385-6203
http://hdl.handle.net/10459.1/65693
spa
Reproducció del document publicat a https://www.cidui.org/revistacidui/index.php/cidui/article/view/742
Revista del CIDUI, 2014, núm. 2, p. 1-8
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Teresa Torner et al., 2014
CIDUI Congrés Internacional de Docència Universitària i Innovació
oai:repositori.udl.cat:10459.1/688652020-05-30T00:09:37Zcom_10459.1_237com_10459.1_2com_10459.1_47453col_10459.1_354col_10459.1_59998
European survey on preanalytical sample handling – Part 2: Practices of European laboratories on monitoring and processing haemolytic, icteric and lipemic samples. On behalf of the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) Working Group for the Preanalytical Phase (WG-PRE)
Cadamuro, Janne
Lippi, Giuseppe
von Meyer, Alexander
Ibarz Escuer, Mercedes
van Dongen–Lases, Edmee
Cornes, Michael
Nybo, Mads
Vermeersch, Pieter
Grankvist, Kjell
Guimaraes, Joao Tiago
Kristensen, Gunn B.
de la Salle, Barbara
Simundic, Ana-Maria
Preanalytics
Standardization
Survey
Introduction: No guideline currently exists on how to detect or document haemolysis, icterus or lipemia (HIL) in blood samples, nor on subsequent use of this information. The EFLM WG-PRE has performed a survey for assessing current practices of European laboratories in HIL monitoring. This second part of two coherent articles is focused on HIL.
Materials and methods: An online survey, containing 39 questions on preanalytical issues, was disseminated among EFLM member countries. Seventeen questions exclusively focused on assessment, management and follow-up actions of HIL in routine blood samples.
Results: Overall, 1405 valid responses from 37 countries were received. A total of 1160 (86%) of all responders stating to analyse blood samples - monitored HIL. HIL was mostly checked in clinical chemistry samples and less frequently in those received for coagulation, therapeutic drug monitoring and serology/infectious disease testing. HIL detection by automatic HIL indices or visual inspection, along with haemolysis cut-offs definition, varied widely among responders. A quarter of responders performing automated HIL checks used internal quality controls. In haemolytic/icteric/lipemic samples, most responders (70%) only rejected HIL-sensitive parameters, whilst about 20% released all test results with general comments. Other responders did not analysed but rejected the entire sample, while some released all tests, without comments. Overall, 26% responders who monitored HIL were using this information for monitoring phlebotomy or sample transport quality.
Conclusion: Strategies for monitoring and treating haemolytic, icteric or lipemic samples are quite heterogeneous in Europe. The WG-PRE will use these insights for developing and providing recommendations aimed at harmonizing strategies across Europe.
2020-05-29T07:59:17Z
2020-05-29T07:59:17Z
2020-05-29T07:59:17Z
2019
info:eu-repo/semantics/article
https://doi.org/10.11613/BM.2019.020705
028828
1330-0962
1846-7482 (Online)
http://hdl.handle.net/10459.1/68865
eng
Reproducció del document publicat a https://doi.org/10.11613/BM.2019.020705
Biochemia Medica, 2019, vol. 29, núm. 2
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by, (c) Croatian Society of Medical Biochemistry, 2018
Croatian Society of Medical Biochemistry and Laboratory Medicine
oai:repositori.udl.cat:10459.1/701052020-12-18T00:14:55Zcom_10459.1_237com_10459.1_2col_10459.1_354
Biopsychosocial experiences and coping strategies of elderly ESRD patients: a qualitative study to inform the development of more holistic and person-centred health services in Singapore
Han, Emeline
Shiraz, Farah
Haldane, Victoria
Koh, Joel Jun Kai
Quek, Rina Yu Chin
Ozdemir, Semra
Finkelstein, Eric Andrew
Jafar, Tazeen Hasan
Choong, Hui‐Lin
Gan, Sheryl
Lim, Lydia W. W.
Legido-Quigley, Helena
End stage renal disease
ESRD
Elderly
Quality of life
Lived experiences
Coping mechanisms
Qualitative research
Background As the incidence and prevalence rates of end stage renal disease (ESRD) rise globally, a disproportionate increase has been observed in the elderly population. Singapore has the fifth highest incidence of treated ESRD worldwide, with the upward trend of ESRD being most apparent among those aged 70 years and older. Although it is well-documented that ESRD patients suffer an impaired quality of life compared to the general population, there is limited research focusing on the unique experiences and needs of elderly ESRD patients in Asian populations. To address the knowledge gap, this study seeks to explore the impact of ESRD and dialysis on the quality of life of elderly (≥70 years old) ESRD patients in Singapore and examine the coping strategies utilised by these patients. Methods This qualitative study involved semi-structured, in-depth interviews with 7 peritoneal dialysis patients, 5 haemodialysis patients, 4 patients on non-dialysis supportive care and 7 caregivers in Singapore. Interviews were conducted in English, Chinese, and Malay and fully transcribed. QSR NVivo 11 software was used for analysis. Results Participants reported that ESRD and dialysis had an impact on three highly interconnected areas of their quality of life: (a) biological/physical (general symptoms, neuromuscular problems, skin problems and poor sleep quality); (b) psychological (depressive symptoms, anxiety and fears, stress and negative self-perceptions); and (c) social (increased dependence on family and loss of social life). There were four key strategies that participants used to cope with these biopsychosocial challenges: (a) family support (financial, practical and emotional support); (b) religious/spiritual support (experiencing gratitude/contentment, the power of prayer and belonging to a faith community); (c) avoidance (cognitive avoidance and distraction techniques); and (d) acceptance (positive thinking and problem solving). Conclusions This study has provided insights into the biopsychosocial impact of ESRD and dialysis, as well as cultural and religious factors that shape the experiences and coping mechanisms of elderly ESRD patients and caregivers in Singapore, which can be used to further the development and implementation of more holistic and person-centred services to help each patient achieve a better quality of life.
2020-12-17T11:58:47Z
2020-12-17T11:58:47Z
2020-12-17T11:58:47Z
2019
info:eu-repo/semantics/article
https://doi.org/10.1186/s12889-019-7433-6
029535
1471-2458
http://hdl.handle.net/10459.1/70105
eng
Reproducció del document publicat a: https://doi.org/10.1186/s12889-019-7433-6
Bmc Public Health, 2019, vol. 19, num. 1, p. 1-13
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
cc-by (c) Han, Emeline et al., 2019
BioMed Central
oai:repositori.udl.cat:10459.1/725992022-01-25T00:27:42Zcom_10459.1_237com_10459.1_2col_10459.1_354
Evidence of learning on the insertion and care of peripheral venous catheters in nursing students: A mixed study
García Expósito, Judith
Reguant Álvarez, Mercedes
Canet Vélez, Olga
Ruiz Mata, Francisca
Botigué, Teresa
Roca Llobet, Judith
Education
Evidence-based guidelines
Nursing
Students
Peripheral venous catheter
Objectives: 1) To assess nursing students' evidence-based knowledge on the use of PVCs, and 2) to examine the perception of learning and teaching strategies aimed at this skill. Background: Insertion and care of Peripheral Venous Catheters (PVCs) are essential skills in undergraduate nursing education. Appropriate knowledge of this skill is crucial to improve clinical practice and patient safety. Therefore, training becomes an enabler for safe practice. Design: A multi-centre convergent parallel mixed-methods. Setting and participants: A total of 675 second-, third- and fourth-year nursing students from 3 nursing schools took part in the study. Methods: Quantitative data collection used a validated 15-question survey on knowledge of PVC management, and a descriptive and inferential analysis was carried out. Qualitative data were collected via a questionnaire consisting of 4 open-ended questions assessing knowledge, teaching methodologies and scenarios, and points for improvement. Results: Most participants were female (74.04%), with a mean age of 22.45 (SD =4.65), who had no experience in the health field (61.8%). They obtained a mean knowledge score of 7.27 (SD =2.64) out of 15. The students who obtained higher scores had a mean professional experience of 7.96, SD =2.66 (p 0.000) and were in their final year, with a mean of 8.59, SD =2.56, (p 0.000). On the other hand, the students assessed their knowledge as basic but improving year by year. They also identified a need to apply more active and experiential method-ologies that would allow for reflection. Conclusion: Level of educational level and experience is associated with increased knowledge. In order to improve knowledge, changes must be made in the training process to incorporate methodologies such as simulation and online training. There is a need to develop programmes that favour the alignment of theory with clinical practice
2021-12-20T10:31:43Z
2021-12-20T10:31:43Z
2021-12-20T10:31:43Z
2021
info:eu-repo/semantics/article
https://doi.org/10.1016/j.nedt.2021.105157
031999
0260-6917
http://hdl.handle.net/10459.1/72599
eng
Reproducció del document publicat a: https://doi.org/10.1016/j.nedt.2021.105157
Nurse Education Today, 2021, vol. 107, december, 105157
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
cc-by-nc-nd (c) authors, 2021
Elsevier
oai:repositori.udl.cat:10459.1/598902022-01-14T13:03:55Zcom_10459.1_237com_10459.1_2com_10459.1_240col_10459.1_354col_10459.1_333
Prevalence, clinical features and risk assessment of pre-diabetes in Spain: the prospective Mollerussa cohort study
Vilanova Fillat, María Belén
Falguera, Mireia
Marsal Mora, Josep Ramon
Rubinat, Esther
Alcubierre Calvo, Núria
Catelblanco, Esmeralda
Granado Casas, Minerva
Miró, Neus
Molló Inesta, Àngels
Mata Cases, Manel
Franch-Nadal, Josep
Mauricio Puente, Dídac
Purpose The Mollerussa prospective cohort was created to study pre-diabetes in a population-based sample from the primary care setting in the semirural area of Pla d'Urgell in Catalonia (Spain). The aims of the study were to assess the prevalence of pre-diabetes in our population, the likelihood to develop overt diabetes over time and to identify risk factors associated with the progression of the condition. Participants The cohort includes 594 subjects randomly selected between March 2011 and July 2014 from our primary care population, who were older than 25 years, consented to participate and did not have a recorded diagnosis of diabetes. Findings to date At baseline, we performed a clinical interview to collect demographic, clinical and lifestyle (including a nutritional survey) characteristics; carotid ultrasound imaging to assess subclinical cardiovascular disease was also performed, and a blood sample was collected, with an overall <5% rate of missing data. An additional blood draw was performed 12 months after initial recruitment to reassess laboratory results in patients initially identified as having pre-diabetes, with an 89.6% retention rate. Several studies investigating various hypotheses are currently ongoing. Future plans All subjects recruited during the cohort creation will be followed long-term through annual extraction of data from health records stored in the electronic Clinical station in Primary Care database. The Mollerussa cohort will thus be a sound population-based sample for multiple future research projects to generate insights into the epidemiology and natural history of pre-diabetes in Spain.
2017-06-16T08:23:31Z
2017-06-16T08:23:31Z
2017-06-16T08:23:31Z
2017-06-11
info:eu-repo/semantics/article
https://doi.org/10.1136/bmjopen-2016-015158
025702
2044-6055
http://hdl.handle.net/10459.1/59890
eng
Reproducció del document publicat a: https://doi.org/10.1136/bmjopen-2016-015158
BMJ Open, 2017, vol. 7, num. 6, p. e015158
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc/4.0/
cc-by-nc (c) Vilanova, María-Belén et al., 2017
BMJ
qdc///col_10459.1_354/100