Anales del sistema sanitario de Navarra最新文献

{"title":"[Intention to leave the nursing profession due to mental health factors in Navarre (Spain) during the post.COVID-19 pandemic period].","authors":"Cristina García-Vivar, Marta Ferraz-Torres, Paula Escalada-Hernández, Nelia Soto-Ruiz","doi":"10.23938/ASSN.1110","DOIUrl":"https://doi.org/10.23938/ASSN.1110","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess the intention to leave the current job or the nursing profession among nurses in the Foral Community of Navarre (Spain) during the sixth wave of the COVID-19 pandemic (October 2021-March 2022). The research also evaluated associations between this intention and nurses´ mental health status and sociodemographic characteristics.</p><p><strong>Methods: </strong>Descriptive, cross-sectional study that included nurses who worked in healthcare institutions in Navarre during the COVID-19 pandemic. A questionnaire was designed using validated scales to assess depression, anxiety, insomnia, post-traumatic stress, and the intention to leave the job or profession. The questionnaire was distributed via e-mail to all registered nurses, and data collection concluded upon reaching the required sample size.</p><p><strong>Results: </strong>Of the 693 nurses who participated, 691 completed the questionnaire in full. Overall, 43% of respondents reported an intention to leave the nursing profession, and of these, 52% also considered leaving the current job. Nurses experiencing higher levels of anxiety and post-traumatic stress, as well as those with fewer years of professional experience, were significantly more likely to report an intention to leave.</p><p><strong>Conclusions: </strong>A substantial proportion of nurses in Navarre considered leaving the profession during the sixth wave of the COVID-19 pandemic, with mental health -particularly anxiety and post-traumatic stress - and limited professional experience being the key contributing factors. These findings underscore the need for targeted interventions to support nurses´ mental health, improve working conditions, and mitigate job abandonment during and after public health emergencies.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Effects of a personalised, adapted computerised cognitive stimulation programme versus stimulating leisure activities in younger and older adults with mild or subjective cognitive impairment. Protocol for a randomised controlled trial].","authors":"Isabel Gómez-Soria, Bárbara Oliván-Blázquez, Alejandra Aguilar-Latorre, Juan Nicolás Cuenca-Zaldívar, Rosa Mª Magallón-Botaya, Estela Calatayud","doi":"10.23938/ASSN.1118","DOIUrl":"https://doi.org/10.23938/ASSN.1118","url":null,"abstract":"<p><strong>Background: </strong>Mild cognitive impairment represents a transitional stage between healthy aging and dementia, with subjective cognitive impairment being a key predictor of progression to dementia. This randomized controlled trial aims to compare the effectiveness of a personalized computerized cognitive stimulation program with that of stimulating leisure activities in younger and older adults with mild or subjective cognitive impairment.</p><p><strong>Methods: </strong>Participants aged = 50 with mild cognitive impairment, subjective cognitive impairment, or scores between 24 and 31 on the Spanish Mini-Mental State Examination were recruited. Exclusion criteria comprised living in residential care, use of acetylcholinesterase inhibitors, sensory impairments, agitation, or having received cognitive stimulation in the past 12 months. Fifty-nine community-dwelling individuals in Zaragoza, Spain, were randomly assigned to two interventions group or a control group. The first intervention group will receive personalized computerized cognitive stimulation for 30 minutes per day, five days per week, while the second intervention group will participate in two to five stimulating leisure activities. The intervention will last eight weeks. The control group will receive the usual care for the same duration. The primary outcome is the assessment of global cognition; secondary outcomes include memory, verbal fluency, activities of daily living, and mood.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Some contributions of the COVID-19 pandemic to learning on public health,clinical and management].","authors":"Joan Carles March","doi":"10.23938/ASSN.1122","DOIUrl":"https://doi.org/10.23938/ASSN.1122","url":null,"abstract":"","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and influencing factors of obesity in preschool children in Suzhou, China.","authors":"Yu Zhang, Xu Zhang, Xiaohua Wang, Zhen Wu, Ying Wang, Hang Ding","doi":"10.23938/ASSN.1105","DOIUrl":"https://doi.org/10.23938/ASSN.1105","url":null,"abstract":"<p><strong>Background: </strong>The study aims to assess the prevalence of obesity among preschool children in Suzhou, China, and analyze potential risk factors to the condition.</p><p><strong>Methods: </strong>The study included preschool children aged 3-6 from various kindergartens in Suzhou. Height and weight measurements were used to determine obesity status, while parents completed questionnaires on relevant information. The Chi-square test was applied to compare obesity rates across groups, and stepwise logistic regression analysis identified associated risk factors for obesity.</p><p><strong>Results: </strong>Eight hundred and forty-eight preschoolers participated. The overall obesity prevalence was 14.0%, with 4.0% categorized as moderately obese (and 7.5% as mildly obese. Boys had a higher obesity prevalence than girls (15.3% vs. 12.7%), and rural children higher than urban children (17.2% vs. 13.1%), although these differences were not statistically significant. Obesity was most prevalent among 3-year-olds (16.1%) and least prevalent among 6-year-olds (11.2%). Logistic regression identified age (boys: OR=0.30; 95%CI: 0.19-0.38, girls: OR=0.24; 95%CI: 0.17-0.36), height (boys: OR=1.21; 95%CI: 1.16-1.26, girls: OR=1.25; 95%CI: 1.18-1.38), and urban location (boys: OR=0.60; 95%CI: 0.34-0.86, girls: OR=0.48; 95%CI: 0.31-0.84) as significant independent predictors for obesity in preschool children in Suzhou, China.</p><p><strong>Conclusions: </strong>The obesity rate among preschool children in Suzhou is 14.0%. The study highlights lower age, higher height, and rural location as important factors influencing obesity in both sex.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Implementation of an early HIV diagnosis and treatment program in a hospital emergency department].","authors":"Hugo Martínez Faya, Amaia Ibarra Bolt, Jorge Abadía Durán, Ana García-Arellano, Carmen Ezpeleta Baquedano, Carlos Ibero Esparza","doi":"10.23938/ASSN.1114","DOIUrl":"https://doi.org/10.23938/ASSN.1114","url":null,"abstract":"<p><strong>Background: </strong>To determine the prevalence of undiagnosed HIV infection among individuals presenting to a hospital emergency department with specific clinical conditions, and to describe the characteristics of those diagnosed with HIV.</p><p><strong>Material and methods: </strong>A cross-sectional study was conducted in the emergency department of the University Hospital of Navarra (Pamplona, Spain) over the first 18 months following the implementation of an early HIV diagnosis program. Adults presenting with herpes zoster, sexually transmitted infections, mononucleosis-like syndrome, community-acquired pneumonia, post-exposure prophylaxis, or chemsex were included. Non-urgent HIV serology tests were requested. In the event of a positive result, patients were informed and referred for consultation to initiate treatment.</p><p><strong>Results: </strong>Two hundred and fifty-two patients were included (mean age: 37.15 years; 63% male); of these, 37% presented with community-acquired pneumonia, 25% with sexually transmitted infections, and 27% had previous HIV serology. Nine individuals (3.6%) tested positive: six were aged 35 to 55, seven were male, with CD4 counts <500 cells/µL and viral loads <3,400 copies/mL. All accepted antiretroviral treatment and were seen in consultation within =6 days.</p><p><strong>Conclusions: </strong>The early HIV diagnosis program in our emergency department proved effective in identifying HIV infection, particularly among individuals with limited interaction with the healthcare system. These findings support the protocol's utility, its performance, and potential for further optimization.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Triple synchronous primary lung adenocarcinoma: A diagnostic challenge].","authors":"Pablo Andrés Ordóñez Lozano, Marco Patricio Bravo Mendoza, Andrea Carilla Sanromán","doi":"10.23938/ASSN.1104","DOIUrl":"https://doi.org/10.23938/ASSN.1104","url":null,"abstract":"<p><p>Multiple primary lung cancer can be synchronous or metachronous based on the timing of lesion onset. Despite the existing classification criteria for lung cancer with multiple lung involvement, it is sometimes challenging to distinguish between lung cancer with multiple lung involvement and intrapulmonary metastases. Moreover, differentiating synchronous multiple primary lung cancer from multifocal ground-glass/lepidic-pattern lung cancer is crucial. While histologic evaluation can aid in diagnosis, molecular analyses are often necessary. We present the case of a female patient diagnosed with triple synchronous primary lung adenocarcinomas. Although the lesions shared the same histological subtype, they exhibited distinct histological patterns and molecular profiles. In cases of lung cancer with multiple lung involvement, it is essential to perform a detailed pathological study for an accurate diagnosis and appropriate therapeutic interventions.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Progress and challenges in Anales del Sistema Sanitario de Navarra. Insights from 2024].","authors":"Clara Bermúdez-Tamayo, Carmen Beorlegui","doi":"10.23938/ASSN.1121","DOIUrl":"https://doi.org/10.23938/ASSN.1121","url":null,"abstract":"","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Perception of professionalism among Latin American physicians in 2024: A multi-national survey].","authors":"Raúl Emilio Real-Delor, Alberto Guevara Tirado, Eduardo Enrique Chibas Muñoz, Ruth Stephany Benítez Penayo, Bárbara Girhfietl Caje Román, Jonatas De Oliveira Borba, Lucio Fabián Duarte Irala, Mirtha Sofía Fleitas Armoa, Elena Cecilia Franco Cáceres, Alberto Martins Junior, Hugo Javier Peralta Echagüe, María Selva Vega Tande","doi":"10.23938/ASSN.1112","DOIUrl":"https://doi.org/10.23938/ASSN.1112","url":null,"abstract":"<p><strong>Background: </strong>Medical professionalism encompasses the values, attitudes, and behaviors that prioritize the service of patients and society. This study aimed to evaluate the perception of professionalism among Latin American physicians in 2024.</p><p><strong>Methodology: </strong>We conducted an observational, cross-sectional study involving Latin American physicians from various specialties. A telematic survey was administered, which included sociodemographic variables (age, sex, country, specialty) and the modified Kwon et al. professionalism questionnaire, comprising 43 questions across seven dimensions.</p><p><strong>Results: </strong>Four hundred and twenty-four physicians participated (median age of 40 years, 57.6% female, and 69.8% from clinical specialties) from Paraguay (72.9%), Peru (24.3%), and Cuba (2.8%). A threshold score of 1.223 out of 4 identified the lowest 40% in perceived professionalism. The lowest scoring indicators - reflecting less frequents behavior - were: I recommend illegal drugs for recreational use and I maintain inappropriate body contact during the physical examination. In contrast, the highest scoring (more frequent) were: I am late for work and I overlook colleagues' medical errors. Male physicians demonstrated significantly lower professionalism in three areas: Inappropriate body contact during physical examination, abusive treatment of other healthcare professionals, and discriminatory behavior toward colleagues or patients (adjusted effect).</p><p><strong>Conclusions: </strong>Sixteen indicators show a significant association with professionalism self-perceived professionalism, with four showing notable differences by sex. Ongoing implementation of such assessment at different professional stages is recommended, along with educational strategies at the university level to reinforce the core values of medical professionalism.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Impact of body composition and psychological state on executive functions in individuals with obesity].","authors":"Mario Tomé-Fernández, Marina Berbegal-Bernabeu, Miriam Sánchez-Sansegundo, José Antonio Hurtado-Sánchez, José Tuells, Ana Zaragoza-Martí","doi":"10.23938/ASSN.1113","DOIUrl":"https://doi.org/10.23938/ASSN.1113","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to examine the relationship between anthropometric and psychological variables and executive functions in individuals with obesity.</p><p><strong>Method: </strong>Adults with obesity were recruited in Alicante (Spain). Participants underwent interviews to collect sociodemographic data (sex, age, educational level, marital status, and employment status) and anthropometric assessments measuring weight, body mass index, visceral fat, fat mass, and muscle mass. Psychological evaluations were carried out using the DASS-21. Executive functions were assessed through the M-WCST (cognitive flexibility), WAIS-IV (working memory), TMTA (processing speed), and TMTB (inhibitory control).</p><p><strong>Results: </strong>The sample comprised 48 participants (52% female) with a mean age of 47.58 years. Most participants had secondary education, were married, and employed. Women exhibited higher values in weight, body mass index, and fat mass (% and kg). Multiple linear regression analyses revealed that anthropometric variables -weight, body mass index, visceral fat, fat mass, and muscle mass- significantly influenced performance on working memory, processing speed, and inhibitory control performance. Additionally, anxiety levels were associated with cognitive flexibility and working memory, while depression levels were linked to inhibitory control.</p><p><strong>Conclusions: </strong>Anthropometric variables -weight, body mass index, visceral fat, fat mass, and muscle mass- are associated with variations in executive function performance, particularly in working memory, processing speed, and inhibitory control. Psychological states -anxiety and depression- are related to specific aspects of executive functioning.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Effectiveness of a training program in the approach to gender-based violence in emergency professionals: A quasi-experimental study].","authors":"María Gracia Adánez-Martínez, Carlos Pérez-Cánovas, César Leal-Costa, María Belén Conesa Ferrer, Jose Luis Díaz-Agea, Ismael Jiménez Ruiz","doi":"10.23938/ASSN.1111","DOIUrl":"https://doi.org/10.23938/ASSN.1111","url":null,"abstract":"<p><strong>Background: </strong>Health systems play a key role in the detection and management of gender-based violence. This study aimed to evaluate the effectiveness of a training program designed to enhance the knowledge, skills, and attitudes of emergency healthcare professionals in addressing gender-based violence.</p><p><strong>Methodology: </strong>A quasi-experimental pre-post study was conducted with 115 emergency health professionals from the Murcian Health Service. Participants completed a 10-hour online training program utilizing active learning methodologies, including guided reflection on didactic and dramatized problem-based videos. The Knowledge, Skills, and Attitudes on Gender-Based Violence Questionnaire (CCHA-VioGen) was administered before and after the training.</p><p><strong>Results: </strong>Statistically significant improvements were observed in all three dimensions. Knowledge and skills showed medium effect sizes (d=2.07 and d=1.99, respectively), while attitude improved with small effect size (d=0.61). Participants rated the course highly in terms of learning consolidation and applicability, indicating that the course content was perceived as relevant and useful. The perceived need for further training was low, suggesting a strong sense of preparedness following the intervention.</p><p><strong>Conclusions: </strong>The training program is highly effective in enhancing healthcare professionals´ competencies in managing cases of gender-based violence. Short, online courses that incorporate innovative resources such as dramatized problem videos represent a feasible and impactful strategy for professional development, especially in setting with limited resources.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}