Anales del sistema sanitario de Navarra最新文献

[Therapeutic play as a strategy to reduce pain and anxiety in pediatric emergency care]. [在儿科急诊护理中，治疗性游戏是一种减少疼痛和焦虑的策略]。

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-10-03 DOI: 10.23938/ASSN.1142

Ana González-Díaz, Cristina Canals-Garzón, Juan Gómez-Salgado, Nora Suleiman-Martos, José Luis Gómez-Urquiza

引用次数: 0

Musculoskeletal pain and health-related quality of life in Spanish health sciences university students. 西班牙健康科学大学学生的肌肉骨骼疼痛与健康相关的生活质量

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-10-03 DOI: 10.23938/ASSN.1115

Beatriz Rodríguez-Romero, Lucía López-López, Inés Fernández-Fraga, Sonia Pértega Díaz

{"title":"Musculoskeletal pain and health-related quality of life in Spanish health sciences university students.","authors":"Beatriz Rodríguez-Romero, Lucía López-López, Inés Fernández-Fraga, Sonia Pértega Díaz","doi":"10.23938/ASSN.1115","DOIUrl":"https://doi.org/10.23938/ASSN.1115","url":null,"abstract":"Background: University students are not exempt from physical and mental health problems. This study aimed to analyze the prevalence of musculoskeletal pain, central sensitization, health-related quality of life, and associated factors among health sciences students.Methods: Cross-sectional study conducted in Spanish health sciences students using anonymous, self-administered questionnaires. Data included sociodemographic characteristics of participants, health-related quality of life (SF-12), frequency and location of musculoskeletal pain (Nordic Musculoskeletal Questionnaire, Numeric Pain Rating Scale), and central sensitization (Central Sensitization Inventory, CSI). Factors associated with the SF-12 physical and mental component summaries (PCS and MCS) were identified using multiple lineal regression analysis.Results: Of the 338 participants, 76.3% were female. A high prevalence of musculoskeletal pain was observed, particularly in the back region (e.g., 59% reported neck pain in the past month), with higher frequency in women. The mean PCS exceeded the Spanish adult population mean for both sexes (54.6 vs. 55.9; p =0.02), whereas the mean MCS was lower than the population mean (36.7 vs. 42.8; p <0.001), even after comparing them with age- and sex-matched population standardized scores. Female sex, disability, chronic musculoskeletal pain, and CSI = 40 were associated with poorer physical health, while only CSI scores were associated with poorer mental health.Conclusions: Health sciences students show a high prevalence of musculoskeletal pain and significant deterioration in mental health. Central sensitization is strongly linked to worse outcomes. Women have poorer mental health and greater prevalence, severity, and chronification of musculoskeletal pain.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234834","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}

引用次数: 0

[Nirsevimab immunization effectiveness against respiratory syncytial virus hospitalization in newborns: two season of use in Navarre, Spain]. [尼塞维单抗免疫对新生儿呼吸道合胞病毒住院的有效性：西班牙纳瓦拉的两个使用季节]。

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-08-29 DOI: 10.23938/ASSN.1133

Noelia Vera-Punzano, Ana Navascués, Leticia Armendáriz, Natividad Viguria, Mercedes Herranz-Aguirre, Manuel García Cenoz, Camino Trobajo-Sanmartín, Aitziber Echeverria, Iván Martínez-Baz, Carmen Ezpeleta, Guillermo Ezpeleta, Jesús Castilla

{"title":"[Nirsevimab immunization effectiveness against respiratory syncytial virus hospitalization in newborns: two season of use in Navarre, Spain].","authors":"Noelia Vera-Punzano, Ana Navascués, Leticia Armendáriz, Natividad Viguria, Mercedes Herranz-Aguirre, Manuel García Cenoz, Camino Trobajo-Sanmartín, Aitziber Echeverria, Iván Martínez-Baz, Carmen Ezpeleta, Guillermo Ezpeleta, Jesús Castilla","doi":"10.23938/ASSN.1133","DOIUrl":"10.23938/ASSN.1133","url":null,"abstract":"Background: Respiratory syncytial virus (RSV) is the leading cause of infant hospitalisation. In 2022, nirsevimab was approved in the European Union to prevent severe respiratory disease due to RSV during the first year of life. Our aim is to evaluate the effectiveness of nirsevimab immunoprophylaxis in new-borns for preventing RSV -related hospitalisations in Navarre, Spain, during its first two seasons of use.Methods: Nirsevimab was offered free of charge to infants born from October to December 2023 and from September to December 2024. Each cohort was followed until February of the following year. Cases were infants hospitalised for PCR-confirmed RSV infection. Cox regression was used to estimate the hazard ratio of hospitalisation for immunised versus non-immunised children.Results: Nirsevimab was offered to 2,699 new-borns; of them, 2,541 (94.1%) received nirsevimab. In the 2023-2024 season, 17 RSV-related hospitalisations were recorded and 24 in the 2024-2025 season. The average risk of RSV hospitalisation was 7.6% in non-immunised new-borns versus 1.1% in immunised ones. Overall, effectiveness of nirsevimab was 79.5% (95% CI: 59.2 - 89.7), with estimates of 89.9% in 2023-2024 and 52.8% in 2024-2025, with no significant differences between seasons (p=0.055). On average, one RSV hospitalisation was prevented per 22.6 immunised infants.Conclusions: Nirsevimab immunoprophylaxis substantially reduces RSV hospitalisations, helping ease paediatric hospital burden. However, as some immunised infants were still hospitalised, additional preventive measures remain necessary.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The importance of life stories in the care for a good death]. [生命故事在善终护理中的重要性]。

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-08-29 DOI: 10.23938/ASSN.1134

Geno Ochando Ortiz

引用次数: 0

[Cannabinoid content in seized hashish joints from Castilla y León (Spain)]. [从Castilla y León（西班牙）查获的大麻关节中的大麻素含量]。

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-08-29 DOI: 10.23938/ASSN.1126

Eduardo Tejedor-Tejada, Jesús Miguel Tejedor Muñoz

{"title":"[Cannabinoid content in seized hashish joints from Castilla y León (Spain)].","authors":"Eduardo Tejedor-Tejada, Jesús Miguel Tejedor Muñoz","doi":"10.23938/ASSN.1126","DOIUrl":"10.23938/ASSN.1126","url":null,"abstract":"Background: Cannabis, in both its herbal form and resin-derived products, is the most widely consumed illicit drug worldwide. This study aimed to determine the potency and dosage of the primary cannabinoids present in cannabis resin from joints circulating in the region.Methods: A descriptive study was conducted on seized joints confiscated by law enforcement agencies in the Autonomous Community of Castilla y León (Spain) between 2017 and 2020. Gross (whole joint) and net (filler) weights were recorded. Gas chromatography was used to quantify cannabinoids delta-9-tetrahydrocannabinol, cannabidiol, and cannabinol. Potency (percentage content) and dosage (mg) were calculated and bioavailability was estimated at 10% and 25%.Results: A total of 639 joints containing a mixture of cannabis resin and tobacco were analyzed (34.3% of confiscated samples). Both gross and net weights showed a decreasing trend over time (6.5-8.5%). Median potency values for delta-9-tetrahydrocannabinol, cannabidiol, and cannabinol were 7.58%, 0.62%, and 0.60%, respectively, while corresponding dosages were 57.04 mg, 4.57 mg, and 4.46 mg. Overall potency and dosage declined across the study period for THC (13.5%), CBN (73%) and CBD (52-67%).Conclusions: The delta-9-tetrahydrocannabinol potency and dosage found in confiscated cannabis resin joints during the study period were higher than those typically reported for herbal cannabis joints, suggesting greater user exposure and increased potential health risks.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[May you benefit from what you see: A humanistic reflection on the palliative gaze]. [愿你受益于你所看到的：对缓和凝视的人文主义反思]。

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-08-29 DOI: 10.23938/ASSN.1130

Juan Luis Torres-Tenor

引用次数: 0

Six Sigma research in healthcare is associated with global health, research and development indicators: A scientometrics study based on countries by income groups. 医疗保健领域的六西格玛研究与全球健康、研究和发展指标有关：一项基于国家收入群体的科学计量学研究。

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-08-28 DOI: 10.23938/ASSN.1124

Estefany Romero-Freile, Darwin Ortiz-Cerchar, David A Hernández-Páez, Ornella Fiorillo-Moreno, Yelson Alejandro Picón-Jaimes, Tulia Beltrán-Venegas, Johana Galván-Barrios, Ivan David Lozada-Martinez

{"title":"Six Sigma research in healthcare is associated with global health, research and development indicators: A scientometrics study based on countries by income groups.","authors":"Estefany Romero-Freile, Darwin Ortiz-Cerchar, David A Hernández-Páez, Ornella Fiorillo-Moreno, Yelson Alejandro Picón-Jaimes, Tulia Beltrán-Venegas, Johana Galván-Barrios, Ivan David Lozada-Martinez","doi":"10.23938/ASSN.1124","DOIUrl":"10.23938/ASSN.1124","url":null,"abstract":"Background: Six Sigma is widely implemented in healthcare to enhance efficiency, minimize medical errors, and improve patient safety. However, the global distribution and impact of Six Sigma research in healthcare remain underexplored. This study conducts a scientometrics analysis of Six Sigma research in healthcare, examining its association with global health, research, and development indicators across income groups.Methodology: A mixed-methods scientometrics study was employed, utilizing data from Scopus, PubMed, and other databases. Regression models and meta-analyses were applied to evaluate associations between Six Sigma research productivity and global health, research and development indicators. Publications were categorized by World Bank income groups, and bibliometric parameters such as impact were analysed.Results: A total of 804 Six Sigma-related publications in healthcare were identified, with high-income countries contributing 70.8% of the total output. The number of publications was significantly associated with adult mortality reduction in high- and upper-middle income countries (p <0.01). Research and development expenditure showed a strong positive correlation with Six Sigma research output across all income groups. However, low-income countries exhibited minimal research activity, with no significant associations detected.Conclusions: Six Sigma research in healthcare is predominantly concentrated in high-income countries, with increasing but uneven growth in upper-middle and low-middle income countries. The limited engagement of low-income countries underscores a critical research gap.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Isolated splenic sarcoidosis: A case report. 孤立性脾结节病1例。

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-08-25 DOI: 10.23938/ASSN.1131

Coro Velasco Gametxogoikoetxea, Irene Fernández De Los Reyes, Fermín Jiménez Bermejo

引用次数: 0

[Quality of process records in the surgical area and possible consequences for patient safety]. [手术区域过程记录的质量和对患者安全的可能后果]。

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-08-25 DOI: 10.23938/ASSN.1120

Sixtina Perarnau-Pauner, Carmen Gomar-Sancho, Tània Estapé-Madinabeitia, Marina Mateu-Capell

{"title":"[Quality of process records in the surgical area and possible consequences for patient safety].","authors":"Sixtina Perarnau-Pauner, Carmen Gomar-Sancho, Tània Estapé-Madinabeitia, Marina Mateu-Capell","doi":"10.23938/ASSN.1120","DOIUrl":"10.23938/ASSN.1120","url":null,"abstract":"Background: The objective is to detect defects in the completion of surgical records (omissions/illegibility), assess their severity and potential consequences, and design improvement strategies.Methods: The clinical records of nursing and anaesthesia (paper-based) and surgical records (electronic) for major surgical procedures performed over a three-month period at Martorell Hospital (Spain) were reviewed. Deficiencies (omissions and illegibility) were identified, and variables with completion deficiencies in more than 50% of the records or with potential impact on patient safety were selected. A panel of experts used a questionnaire to assess severity (high = 70-89%, very high = >90%) and possible consequences (pre-, intra-, post-surgical, and administrative), and proposed for improvement measures.Results: Medical records from 491 patients were analysed. Illegibility was almost non-existent, except for four variables (=10%). The overall completion rate was 98%. Forty-three variables with defects in >50% of records or with potential impact were included in the questionnaire, which was sent to 29 experts. The reliability of their responses was very high (a=0.995; intraclass correlation coefficients: individual=0.880 and average=0.995). Omissions of nearly all variables were considered of high or very high severity, with postoperative consequences outweighing intraoperative ones. Face-to-face team training and record adaptation were the most frequently recommended improvement strategies.Conclusions: Surgical records show serious to very serious omissions with potential postoperative consequences for patient safety. Simulation-based training was considered the most effective tool for improvement.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Clinical response to brivaracetam in two cases of drug-resistant juvenile absence epilepsy]. [布伐西坦治疗2例耐药青少年失神癫痫的临床疗效]。

IF 0.6

Anales del sistema sanitario de Navarra Pub Date : 2025-08-25 DOI: 10.23938/ASSN.1132

Abel Alejandro Sanabria Sanchinel, Byron Daniel Bol Marroquín

引用次数: 0