Gaceta Sanitaria最新文献

{"title":"Recruitment and retention in a multidomain intervention for post-TIA and minor stroke: turning challenges into lessons","authors":"Micaela Gonçalves , Ana Rute Costa , Maria João Lima , Ângelo Fonseca , Mariana Seco , Cristina Duque , Vítor Tedim Cruz","doi":"10.1016/j.gaceta.2025.102482","DOIUrl":"10.1016/j.gaceta.2025.102482","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102482"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Precauciones específicas frente a fiebre hemorrágica Crimea-Congo en pacientes con síntomas generales tras picadura de garrapata","authors":"Gonzalo de las Casas Cámara , María Valencia Laray","doi":"10.1016/j.gaceta.2025.102467","DOIUrl":"10.1016/j.gaceta.2025.102467","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102467"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accompaniment of isolated people by volunteers from the neighborhood (ACOMPANYEM). A community trial with a nested qualitative study","authors":"Paloma Camós-Guijosa ,&nbsp;Alba Caro-Durán ,&nbsp;Eva Bellés-Mur ,&nbsp;Benilde Domingo-Arasa ,&nbsp;Yolanda Vasco-Rodríguez","doi":"10.1016/j.gaceta.2024.102442","DOIUrl":"10.1016/j.gaceta.2024.102442","url":null,"abstract":"<div><h3>Introduction</h3><div>Social prescription targets people with social isolation or unwanted loneliness and offers them community activities to improve their emotional well-being. Disabled homebound people cannot access social-health community assets. Neighborhood volunteers may accompany them at home or walk them outdoors. Community emotional well-being referent may enhance these interactions, conducting emotional counseling and management groups for volunteers.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of community intervention of accompaniment and emotional management with volunteers on unwanted loneliness in people with social isolation, their emotional well-being, and quality of life.</div></div><div><h3>Method</h3><div>A community non-randomized trial on isolation with a qualitative nested study on unwanted loneliness. Detection by a driving group, made up of neighborhood organizations and the community health team, in an opportunistic way. Implementation of the multi-level volunteer-isolated people intervention. In cases where we detect architectural barriers, we will provide technical aids (portable stairlifts).</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102442"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perfil de las gestantes con hijos con anomalías congénitas en la Comunitat Valenciana","authors":"Laura García-Villodre ,&nbsp;Laia Barrachina-Bonet ,&nbsp;Lucía Páramo-Rodríguez ,&nbsp;Óscar Zurriaga ,&nbsp;José V. Sorlí ,&nbsp;Clara Cavero-Carbonell","doi":"10.1016/j.gaceta.2025.102509","DOIUrl":"10.1016/j.gaceta.2025.102509","url":null,"abstract":"<div><h3>Objective</h3><div>To describe pregnant women's profile with children with congenital defects (CD) in Valencian Region and to identify differences in pregnancy outcomes based on the characteristics of pregnant.</div></div><div><h3>Method</h3><div>Cross-sectional epidemiological study. Pregnant women with live births or stillbirths between 2007-2021 were selected from the CD population-based registry of Valencian Region. Pregnant women were classified by: age (&lt;<!--> <!-->35 years and ≥<!--> <!-->35 years), residence province and birth country. The analysis included general descriptive statistics as well as statistics for each characteristic of the pregnant women and the CD of children. To compare the variables, t test or χ² test were used. CD prevalence (total and by groups) and its 95% confidence intervals per 10,000 births were calculated for the three characteristics.</div></div><div><h3>Results</h3><div>12,306 pregnant women were identified. 65.0% were &lt;<!--> <!-->35 years, 72.9% born in Spain and 45.7% resided in Valencia province. The highest prevalence of CD children with statistically significant differences was in woman pregnant ≥<!--> <!-->35 years (194.7/10,000 births), not born in Spain (195.9/10,000 births) and residents in Castellon (245.2/10,000 births).</div></div><div><h3>Conclusions</h3><div>The study highlights the relationship between CD and age, residence, and birth country of pregnant women, and confirmed the CD surveillance is a Public Health challenge.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102509"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implantación del cribado poblacional de cáncer de cérvix con autotoma. Estudio piloto en la Comunidad Valenciana","authors":"María Besó Delgado ,&nbsp;Susana Castán Cameo ,&nbsp;Andrea Requena Menéndez ,&nbsp;Josefa Ibáñez Cabanell ,&nbsp;Marina Pinto Carbó ,&nbsp;Mercedes Vanaclocha Espí ,&nbsp;Dolores Salas Trejo ,&nbsp;Óscar Zurriaga ,&nbsp;Ana Molina-Barceló","doi":"10.1016/j.gaceta.2025.102522","DOIUrl":"10.1016/j.gaceta.2025.102522","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the processes and outcomes of a pilot study designed for the implementation of the Population-Based Cervical Cancer Prevention Program in the Valencian Community, based on human papillomavirus (HPV) detection through self-sampling, conducted between November 2022 and June 2023.</div></div><div><h3>Method</h3><div>A pilot study was conducted, inviting 4293 women aged 35–65 years through direct mailing of self-sampling kits (FlowSWAB®, Copan). To encourage participation, reminder SMS messages were sent, including a survey on reasons for non-participation. Women with incorrect addresses were contacted by phone. Exclusion criteria identified through the survey or follow-up led to the exclusion of some participants, resulting in a final sample of 4170 women. A descriptive and rate-based analysis was conducted on participation and pathology, assessing process and outcome indicators.</div></div><div><h3>Results</h3><div>The overall prevalence of HPV was 7.01% (2.0% for genotype 16 and 5.17% for other genotypes). Colposcopies detected 9 cases of CIN1 (0.42%), 3 cases of CIN2<!--> <!-->+<!--> <!-->(0.16%), and 2 adenocarcinomas (0.11%). The highest proportion of detected pathology was associated with genotype 16. Participation was 45.49%, lower among younger age groups, foreign-born individuals, employed women, those with chronic diseases, those without a residential unit, and those with lower income levels, with statistically significant differences observed. SMS reminders increased participation by 10.84% after the first SMS, with a greater effect among women aged 55–65 years. The most common reason for non-participation was lack of information (13.3%). Contacting a healthcare professional significantly improved participation among women with incorrect addresses (71.42% participation rate).</div></div><div><h3>Conclusions</h3><div>The study results confirm the proper functioning of screening procedures, supporting the feasibility of the pilot model, although participation was lower than expected. Key deficiencies were identified, including challenges in reaching the eligible population, inefficient processes, and data management complexities. Implementing an interoperable information system could optimize these aspects. To improve participation, raising awareness of the program and screening techniques is crucial. Strategies such as reminder SMS messages and direct contact with healthcare professionals have proven effective.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102522"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"Carlos Aibar-Remón","doi":"10.1016/j.gaceta.2025.102456","DOIUrl":"10.1016/j.gaceta.2025.102456","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102456"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primeras citas de dos especies de mosquitos antropófilos en Segovia. Implicación en la transmisión de patógenos","authors":"Josué Martínez-de la Puente ,&nbsp;Mikel A. González","doi":"10.1016/j.gaceta.2024.102438","DOIUrl":"10.1016/j.gaceta.2024.102438","url":null,"abstract":"<div><div>The aim of this field note is to report the presence of new mosquito species (Diptera: Culicidae) in the province of Segovia and discuss their potential role in pathogen transmission. In August 2024, two female mosquitoes were captured and identified as <em>Aedes geniculatus</em> (Olivier, 1791) and <em>Anopheles petragnani</em> (Del Vecchio, 1939) through a combination of traditional morphological identification and molecular analysis of their COI gene sequences. In urban environments, like the study area, these species seem to be attracted to humans.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102438"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"Jaume Puig-Junoy","doi":"10.1016/j.gaceta.2025.102447","DOIUrl":"10.1016/j.gaceta.2025.102447","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102447"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sistemas de salud en Latinoamérica: reflexiones en la encrucijada del siglo XXI","authors":"José Ramón Repullo-Labrador ,&nbsp;José Manuel Freire-Campo ,&nbsp;Jorge Marcos-Marcos","doi":"10.1016/j.gaceta.2025.102493","DOIUrl":"10.1016/j.gaceta.2025.102493","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102493"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HEIRES questionnaire: ensuring equality in health research","authors":"Cristina Rius ,&nbsp;Rut Lucas-Domínguez","doi":"10.1016/j.gaceta.2025.102490","DOIUrl":"10.1016/j.gaceta.2025.102490","url":null,"abstract":"<div><h3>Objective</h3><div>The inadequate collection, analysis, presentation and dissemination of sex and/or gender disaggregated data leads to persistent gender bias in biomedical research, clinical trials, publications and health information systems which have a negative impact on medical practice. In addition, gender gap persists in many scientific institutions and among researchers, despite various initiatives to promote equality among all professionals involved in research teams. The aim of this study is to create a tool to assess the inclusion of a gender perspective in biomedical research.</div></div><div><h3>Method</h3><div>Relevant scientific publications on gender inclusion and biomedical studies indexed in the Web of Science were analysed, and guidelines and recommendations developed by leading governmental institutions, funding agencies and academic organisations were also reviewed. A panel of experts then used the Delphi method to identify useful variables for designing a questionnaire on gender inclusion in health sciences research.</div></div><div><h3>Results</h3><div>For the first time, the questionnaire HEIRES assesses the integration of a gender perspective in a transversal way at all stages of biomedical research, from team composition to study development and dissemination. The final result is an immediate and objective score that allows professionals, institutions and policy-makers to identify strengths and potential areas for improvement in the integration of gender perspective in their research and/or within their organisations.</div></div><div><h3>Conclusions</h3><div>Identifying gaps in the biomedical research process improves the quality of research centres, teams and studies and bring them closer to a fairer, more inclusive and equitable scenario towards personalised health.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102490"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}