Anales del sistema sanitario de Navarra最新文献

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[Translation and transcultural adaptation of the Person-Centered Practice Inventory-Care for Spanish patients]. [以人为中心的实践清单-西班牙患者护理的翻译和跨文化适应]。
Anales del sistema sanitario de Navarra Pub Date : 2024-12-21 DOI: 10.23938/ASSN.1099
Mónica Vázquez-Calatayud, Ana Choperena, Begoña Errasti-Ibarrondo, Marta Lizarbe-Chocarro, Yvonne Gavela-Ramos, Virginia La Rosa-Salas, Brendan McCormack, María José Galán-Espinilla, Ana Carvajal-Valcárcel
{"title":"[Translation and transcultural adaptation of the Person-Centered Practice Inventory-Care for Spanish patients].","authors":"Mónica Vázquez-Calatayud, Ana Choperena, Begoña Errasti-Ibarrondo, Marta Lizarbe-Chocarro, Yvonne Gavela-Ramos, Virginia La Rosa-Salas, Brendan McCormack, María José Galán-Espinilla, Ana Carvajal-Valcárcel","doi":"10.23938/ASSN.1099","DOIUrl":"10.23938/ASSN.1099","url":null,"abstract":"<p><strong>Background: </strong>Person-centered care (PCC) positively impacts individuals by enhancing self-care, autonomy, well-being, skills, quality of life, and satisfaction with their care experience. The Person-Centered Practice Inventory-Care (PCPI-C), grounded in the Person-Centered Practice theoretical framework, is designed to assess healthcare users' perceptions of the PCC they receive. This study aims to develop the first Spanish version of the PCPI-C, translated and adapted to the Spanish context.</p><p><strong>Methods: </strong>The translation and cultural adaptation process followed the \"Translation and Cultural Adaptation of Patient-Reported Outcomes Measures: Principles of Good Practice\" guideline, which included a session with a group of experts and healthcare users. The clarity and relevance of each item, as well as the whole instrument, were assessed using the content validity index.</p><p><strong>Results: </strong>No difficulties were found during the process. The committee unanimously agreed to include the definition of compassion in the instrument due to its complexity and potential confusion with other terms. Regarding clarity and relevance, the content validity index revealed excellent results for all 18 items in terms of relevance and for 16 items in terms of clarity. The overall validity index for the instrument showed excellent result for both clarity and relevance (=0.95).</p><p><strong>Conclusions: </strong>The first Spanish-adapted version of the PCPI-C, conceptually and semantically aligned with the original, is now available and demonstrates excellent scores for both clarity and relevance.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873723","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
[New management models or traditional hospital management? Transition of a hospital-foundation in a Euroregion]. 新的管理模式还是传统的医院管理?欧洲地区医院基金会的转型[j]。
Anales del sistema sanitario de Navarra Pub Date : 2024-12-21 DOI: 10.23938/ASSN.1100
Juan Cueva Ares, Mateo Cacho Uzal, Fe Lopez-Juiz, Francisco Reyes-Santías
{"title":"[New management models or traditional hospital management? Transition of a hospital-foundation in a Euroregion].","authors":"Juan Cueva Ares, Mateo Cacho Uzal, Fe Lopez-Juiz, Francisco Reyes-Santías","doi":"10.23938/ASSN.1100","DOIUrl":"10.23938/ASSN.1100","url":null,"abstract":"<p><strong>Background: </strong>This study aims to assess the impact of transitioning a hospital/foundation from indirect management to direct management on the efficiency of hospital resource management.</p><p><strong>Methodology: </strong>Until 2010, the Virxe da Xunqueira hospital/foundation, located in the Galicia-North Portugal Euroregion, operated under indirect management. In 2010, it transitioned to direct management as a health centre within the Galician Health Service (Spain). Public management of hospital resources was compared using data development analysis for two periods: indirect management (2005-2009) and direct management (2011-2015). Inputs included labour (number of workers) and capital (number of beds), while outputs were measured by the number of consultations, emergencies, interventions, admissions (inpatients), hospital stays, patients on waiting the list, average length of stay, waiting times, and hospital occupancy rate. The synthetic index used was the basic care units.</p><p><strong>Results: </strong>Virxe da Xunqueira demonstrated greater efficiency as a hospital/foundation in terms of the number of consultations, emergencies, admissions, inpatients, and indicators related to patient stay (including number and average length of stay). After transitioning to direct management, the hospital showed improved efficiency in average waiting times, the number of patients on the waiting list, and the number of surgical interventions. The production factors exhibited decreasing returns to scale in both types of governance.</p><p><strong>Conclusions: </strong>Both type of management show greater efficiency in certain inputs. However, there is insufficient evidence to conclude that the previous management model (indirect management) is more efficient than direct management.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873686","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
[Vulnerability, chronicity and aging: older adults' medication experience should be integrated in Pharmaceutical Care]. 【虚弱、慢性和衰老:老年人用药经验应融入药学服务】。
Anales del sistema sanitario de Navarra Pub Date : 2024-12-20 DOI: 10.23938/ASSN.1092
Martha Milena Silva-Castro
{"title":"[Vulnerability, chronicity and aging: older adults' medication experience should be integrated in Pharmaceutical Care].","authors":"Martha Milena Silva-Castro","doi":"10.23938/ASSN.1092","DOIUrl":"10.23938/ASSN.1092","url":null,"abstract":"","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866876","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
[Reputational risks associated with nurses' presence on social media: proposed actions following the Vall d'Hebron case]. [与护士在社交媒体上的存在相关的声誉风险:瓦尔德希布伦案后的建议行动]。
Anales del sistema sanitario de Navarra Pub Date : 2024-12-19 DOI: 10.23938/ASSN.1095
Hildegart González-Luis, Ana Azurmendi, Blanca Basanta-Vázquez, Francesc Pujol
{"title":"[Reputational risks associated with nurses' presence on social media: proposed actions following the Vall d'Hebron case].","authors":"Hildegart González-Luis, Ana Azurmendi, Blanca Basanta-Vázquez, Francesc Pujol","doi":"10.23938/ASSN.1095","DOIUrl":"10.23938/ASSN.1095","url":null,"abstract":"<p><strong>Background: </strong>A Spanish nurse posted a video on TikTok criticizing the requirement of a certain level of Catalan to work in the public health system of Catalonia (Spain). The video went viral, eliciting reactions from social media users, politicians, and professional nursing organizations. This study aims to evaluate the reputational damage suffered by the nurse, her hospital, and the nursing profession, with the goal of proposing actions to prevent, avoid, or manage similar situations.</p><p><strong>Methodology: </strong>A sequential exploratory mixed-methods design was used to analyse the content of the video, its impact on the press and social media, and the management of the communication crisis by the hospital and nursing organizations involved.</p><p><strong>Results: </strong>The nurse exercised her right to freedom of expression. However, her choice to convey the message, wearing the uniform that identified her as a staff member of a specific hospital, and her criticism of the language level requirement, led to reputational damage after the video spread via the press and Twitter/X. The hospital's reputation was affected due to the nurse being identified as one of its employees. In contrast, the reputation of the nursing profession was not significantly harmed, as multiple information sources suggested the incident was isolated. The creation of a safe, self-regulatory framework and training in social media and communication management are proposed as measures for healthcare centres, nursing organizations, and academic institutions to implement.</p><p><strong>Conclusions: </strong>The reputations of both the nurse and her hospital were impacted. A methodological model for analysing similar situations is proposed.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857437","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
[Trends in the epidemiology of pertussis in Malaga, Spain (2017-2024)]. [西班牙马拉加百日咳流行病学趋势(2017-2024)]。
Anales del sistema sanitario de Navarra Pub Date : 2024-12-05 DOI: 10.23938/ASSN.1091
Ignacio Rodriguez-Vergara Pérez, David Moscoso Sánchez, Julián Manuel Domínguez Fernández, Sara Estefanía Montenegro Jaramillo, María Amores Alguacil
{"title":"[Trends in the epidemiology of pertussis in Malaga, Spain (2017-2024)].","authors":"Ignacio Rodriguez-Vergara Pérez, David Moscoso Sánchez, Julián Manuel Domínguez Fernández, Sara Estefanía Montenegro Jaramillo, María Amores Alguacil","doi":"10.23938/ASSN.1091","DOIUrl":"10.23938/ASSN.1091","url":null,"abstract":"<p><strong>Background: </strong>Description of the epidemiological evolution of pertussis in the province of Malaga, Spain (2017 - 2024), disease severity, and vaccination coverage.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using reported cases from the Andalusian Notifiable Diseases Network (RedAlerta). The incidence of pertussis was calculated per 100,000 inhabitants for each health district, quarter, and year. Additionally, the relationship between severe cases (hospitalizations) and vaccination status was analyzed.</p><p><strong>Results: </strong>A total of 181 pertussis cases were identified. Of these, 56.4% were reported during the pre-pandemic period (2017-2019), while 9.95% occurred between 2020 and 2023. An increase in cases was observed in the first quarter of 2024 (n = 61; 33.7% of the total cases), compared to previous years (1 to 46 cases). The 0 to 20-year group accounted for 71.3% of cases, of which 57.4% had received at least partial vaccination prior to contracting pertussis. Severe disease requiring hospitalization occurred in 25.6% of cases, with a higher frequently among unvaccinated individuals (70% vs 18.3%; p < 0.001). Among hospitalized cases, 42.4% had not received any prior doses of the vaccine. Additionally, 47.1% of the 17 pertussis cases in children aged =1 year had not received any vaccination and had no history of maternal vaccination during pregnancy.</p><p><strong>Conclusions: </strong>An increase in reported pertussis cases is observed in early 2024 in Malaga, but hospitalization rates among confirmed cases remained stable. A significant association is found between prior vaccination against pertussis and reduced disease severity (hospitalization) in the 0 to 20-year-old age group.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788373","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
[Validity of the PEDOMETER® mobile application for evaluating cardiorespiratory fitness and fatigue resistance in cardiac rehabilitation. A pilot study]. [PEDOMETER®移动应用程序在心脏康复中评估心肺健康和疲劳抵抗的有效性][初步研究]。
Anales del sistema sanitario de Navarra Pub Date : 2024-12-02 DOI: 10.23938/ASSN.1078
Miguel Gómez-Alguacil, Virginia Llanos-Ruíz, Leire Moreno-Galdós, María Madrigal-Azcona, Antonio López-Román, Roberto Cano-de-la-Cuerda, Isabel M Alguacil-Diego
{"title":"[Validity of the PEDOMETER® mobile application for evaluating cardiorespiratory fitness and fatigue resistance in cardiac rehabilitation. A pilot study].","authors":"Miguel Gómez-Alguacil, Virginia Llanos-Ruíz, Leire Moreno-Galdós, María Madrigal-Azcona, Antonio López-Román, Roberto Cano-de-la-Cuerda, Isabel M Alguacil-Diego","doi":"10.23938/ASSN.1078","DOIUrl":"10.23938/ASSN.1078","url":null,"abstract":"<p><strong>Background: </strong>A mobile application (app) may facilitate the administration of the 6-minute walk test (6MWT), a commonly used tool in cardiac rehabilitation. This pilot study, conducted with cardiac rehabilitation patients, aimed to evaluate: 1) the criterion validity of the PEDOMETER® app compared to the 6MWT in assessing cardiorespiratory fitness and fatigue resistance, and 2) the construct validity of the PEDOMETER ® app in relation to the Hospital Anxiety and Depression Scale (HADS) and the Health Index of the EuroQol-5D 3L questionnaire (EQ-5D).</p><p><strong>Methods: </strong>Twenty patients undergoing cardiac rehabilitation at HM Puerta del Sur Hospital (Mostoles, Spain) performed the 6MWT while using the PEDOMETER ® app on a smartphone worn on their arm. Pearson's correlation coefficient was calculated to assess the relationship between the distance recorded in meters during the 6MWT and that recorded by the app, as well as between the app and the anxiety and depression dimensions of the HADS, and the Health Index EQ-5D.</p><p><strong>Results: </strong>The criterion validity of the 6MWT and the PEDOMETER ® app was excellent (r = 0.981; p < 0.001). Regarding construct validity, the app showed a moderate negative correlation with the depression dimension of the HADS (r= -0.493), but not with the anxiety dimension or the EQ-5D.</p><p><strong>Conclusions: </strong>The free PEDOMETER ® app demonstrates excellent criterion validity when compared to the 6MWT. The app shows a moderate negative correlation with the depression dimension of the HADS.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11682700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776252","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
[Diagnostic comparison of bedside lung ultrasound and chest radiography in the intensive care unit]. [重症监护室床旁肺部超声和胸部放射摄影的诊断比较]。
Anales del sistema sanitario de Navarra Pub Date : 2024-11-15 DOI: 10.23938/ASSN.1088
Juan-Ambrosio Martínez-Molina, Miguel Angel Martínez-González, Marc Vives Santacana, Ariel Duilio González Delgado, Karlos Reviejo Jaka, Pablo Monedero
{"title":"[Diagnostic comparison of bedside lung ultrasound and chest radiography in the intensive care unit].","authors":"Juan-Ambrosio Martínez-Molina, Miguel Angel Martínez-González, Marc Vives Santacana, Ariel Duilio González Delgado, Karlos Reviejo Jaka, Pablo Monedero","doi":"10.23938/ASSN.1088","DOIUrl":"10.23938/ASSN.1088","url":null,"abstract":"<p><strong>Background: </strong>Bedside lung ultrasound (POCUS) offers advantages over chest X-ray, including better cost-effectiveness for diagnosing certain pulmonary pathologies. This study compares the diagnostic concordance between portable chest X-rays and bedside lung ultrasounds in the intensive care unit (ICU).</p><p><strong>Methods: </strong>Adult ICU patients were included. POCUS was performed using the abbreviated BLUE protocol. Diagnostic results from POCUS and chest radiographies were compared using the intensivist clinical diagnosis - based on clinical examinations and lung ultrasounds - as the reference. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the ultrasounds were calculated.</p><p><strong>Results: </strong>A total of 100 patients were included, 71 with pulmonary pathologies. The average time to perform the ultrasound was 308 seconds. Ultrasound identified pathology in 20 patients with a normal chest radiographs. Diagnostic discrepancies occurred in 30 patients, highlighting ultrasound´s superior sensitivity in detecting atelectasis, pleural effusions, and pulmonary edema. Ultrasound demonstrated sensitivity (S) of 85%, specificity (E) of 100%, positive predictive value (PPV) of 100%, and negative predictive value (NPV) of 55%.</p><p><strong>Conclusion: </strong>Lung point-of-care ultrasound at ICU admission detects more pathologies and does not miss significant abnormalities seen on chest X-rays. It also shows good diagnostic accuracy. These findings suggest that pulmonary POCUS, using an abbreviated protocol, could be a viable alternative to chest radiography for initial evaluation and follow-up of pulmonary pathologies in critically ill patients, potentially improving care quality and management.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640280","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
Differential psychosocial consequences between male and female workers who have suffered an amputation in an occupational accident. 因工伤事故截肢的男女工人之间的社会心理后果差异。
Anales del sistema sanitario de Navarra Pub Date : 2024-11-14 DOI: 10.23938/ASSN.1090
Rubén Nevado, Alfonso Arteaga, Javier Fernández-Montalvo
{"title":"Differential psychosocial consequences between male and female workers who have suffered an amputation in an occupational accident.","authors":"Rubén Nevado, Alfonso Arteaga, Javier Fernández-Montalvo","doi":"10.23938/ASSN.1090","DOIUrl":"10.23938/ASSN.1090","url":null,"abstract":"<p><strong>Background: </strong>The main goals of this study are to determine the sociodemographic, occupational and psychosocial characteristics and type of amputation of people affected by occupational amputations in Navarre, Spain, and to analyse the differing characteristics based on sex.</p><p><strong>Methods: </strong>People affected by occupational amputations in Navarra between January 2000 and December 2019 were identified by the Public and Work Health Institute of Navarre. Sociodemographic, amputation, psychopathological (Symptom Checklist, SCL-90-R; Severity Posttraumatic Stress Disorder Scale-Revised, EGS-R), maladjustment (Maladjustment Scale), pain (Numeric Pain Rating Scale) and suicide (Columbia Scale Screening for Suicidal Ideation, C-SSRS) characteristics were assessed.</p><p><strong>Results: </strong>Of the 557 workers identified, 80 were included in the study. The results showed the presence of relevant psychosocial repercussions with a moderately high level of psychopathological symptoms, a Post-Traumatic Stress Disorder (PTSD) prevalence rate of 10%, re-experimentation as the most relevant symptom, and labour and leisure as the most affected areas. Sex differences were found in PTSD re-experimentation symptoms (higher in women) and leisure maladjustment (higher in men). No sex differences were found in the remaining variables studied.</p><p><strong>Conclusions: </strong>This study demonstrates the relevance of psychosocial consequences in workers with amputations. Research on this topic is necessary due to the scarcity of studies conducted to date.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635728","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
Hamman syndrome in an 18-year-old male patient. 一名 18 岁男性患者的 Hamman 综合征。
Anales del sistema sanitario de Navarra Pub Date : 2024-11-14 DOI: 10.23938/ASSN.1096
Laura Campos Modesto, Pedro Rodrigo Magalhães Negreiros de Almeida, Vitorino Modesto Dos Santos, Fernanda Silva Bertulucci Angotti, Lilian Sousa Santana, Nathalia Gadelha Costa Hentges
{"title":"Hamman syndrome in an 18-year-old male patient.","authors":"Laura Campos Modesto, Pedro Rodrigo Magalhães Negreiros de Almeida, Vitorino Modesto Dos Santos, Fernanda Silva Bertulucci Angotti, Lilian Sousa Santana, Nathalia Gadelha Costa Hentges","doi":"10.23938/ASSN.1096","DOIUrl":"10.23938/ASSN.1096","url":null,"abstract":"<p><p>In 1939, Hamman´s syndrome, also know as spontaneous pneumomediastinum, was characterized by the presence of pneumothorax, subcutaneous emphysema, and pneumorrhachis. It is believed to arise from barotrauma during vaginal labor, causing alveolar membrane rupture and subsequent air leakage. Clinical manifestations are often nonspecific. Management strategies vary based on symptom severity and complications, high-concentrations oxygen therapy promoting air absorption. We present the case of an 18-year-old male patient with a history of bronchial asthma and tobacco use, underscoring the need for heightened awareness of Hamman´s syndrome in similar cases. Prompt diagnosis and appropriate management are crucial to prevent or quickly address potential life-threatening complications. Diagnosing this syndrome in male patients can be particularly challenging, as it was initially associated with complications from vaginal labor, potentially leading to poorer outcomes.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635729","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
Fruit and vegetables loss and waste in preschools belonging to the National Board of Kindergartens of Chile. 智利国家幼儿园委员会下属幼儿园的水果和蔬菜损耗与浪费情况。
Anales del sistema sanitario de Navarra Pub Date : 2024-10-14 DOI: 10.23938/ASSN.1089
Ximena Rodríguez Palleres, Claudio Villota Arcos, Álvaro Toledo San Martín, Fancy Rojas González, Juan Manuel Castagnini
{"title":"Fruit and vegetables loss and waste in preschools belonging to the National Board of Kindergartens of Chile.","authors":"Ximena Rodríguez Palleres, Claudio Villota Arcos, Álvaro Toledo San Martín, Fancy Rojas González, Juan Manuel Castagnini","doi":"10.23938/ASSN.1089","DOIUrl":"10.23938/ASSN.1089","url":null,"abstract":"<p><strong>Background: </strong>Food waste is a global issue affecting society from environmental, nutritional, and social perspectives. In collaboration with the National Board of Preschools, fruit and vegetable waste generated during the preparation of lunch was quantified in four preschools in the Metropolitan area of Santiago in Chile.</p><p><strong>Methods: </strong>This study was conducted in four preschools, two in the Western area of Santiago and two in the Eastern area, of which two hold environmental quality certifications. Over a five-day period, the weight of raw materials and waste from vegetables (peels) and fruit (pomace) were measured. Percentages of vegetable and fruit post-cleaning losses and waste were evaluated.</p><p><strong>Results: </strong>Vegetable loss exceeded 20% in 31% of the preschools, primarily from carrots and potatoes. Fruit losses were higher, with pears accounting for the most significant waste, recorded in 75% of the study centers. No differences in vegetable loss was found between centers, while variations were observed for fruit. Preschools with environmental quality certifications wasted less onions (p = 0.016) but more pears (p = 0.036).</p><p><strong>Conclusions: </strong>There is higher fruit loss than vegetable loss, with onions and tomatoes being the least wasted. Possessing an environmental quality certification does not guarantee a significant reduction in overall losses. Handling and storage conditions may play a key role in minimizing losses. Further studies are needed to provide evidence that can guide improvements in Chile's National Board of Preschools services, aiming for a more sustainable lunch preparation processes.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11673439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485223","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
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