Mónica Povedano Pandés, Ricard Rojas García, Luis Querol Gutiérrez, Francisco Javier Rodríguez de Rivera, Carolina Colomer Font, Enrique Noé Sebastián, Mª Dolores Navarro Pérez, Alan Juárez Belaunde, Joan Ferri Campos, Teresa Cristina Guijarro Castro
{"title":"[Guide of recommendations for the diagnosis and neurorrehabilitative treatment of post-poliomielytic sequelar conditions].","authors":"Mónica Povedano Pandés, Ricard Rojas García, Luis Querol Gutiérrez, Francisco Javier Rodríguez de Rivera, Carolina Colomer Font, Enrique Noé Sebastián, Mª Dolores Navarro Pérez, Alan Juárez Belaunde, Joan Ferri Campos, Teresa Cristina Guijarro Castro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Postpolio syndrome (PPS), which affects 20% to 50% of patients decades after initial poliovirus infection, poses a significant clinical challenge due to its unknown etiology and lack of pathogenic treatment. The main current theories point to degenerative processes secondary to the initial infection as the basis of its pathogenesis. Our guide addresses this complex landscape, providing a structured, evidence-based approach to the management of these sequelae. We emphasize the importance of: A personalized comprehensive evaluation; The development of multidisciplinary programs specifically designed to maximize functionality; Preventing complications and improving the quality of life of patients. We propose that these interventions be carried out under the supervision of an interdisciplinary team of specialists, who will use validated tools and personalized strategies based on the individual clinical characteristics of each patient. This approach ensures optimal functional benefit, aligned with current principles of evidence-based clinical practice.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12175752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328275","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}
{"title":"[Bacterial filtration efficiency (BFE) of surgical masks used for eight hours and unused masks with Staphylococcus aureus].","authors":"Sara Batista, Genoveva Cuesta, Mariana Fernandez-Pittol, Angely Roman, Griselda Tudó, Julián González-Martín","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Spanish regulations and World Health Organization (WHO) guidelines recommend not using surgical masks for more than four hours. The high demand and low availability of surgical masks during the COVID-19 pandemic highlighted this as a major limitation. The objective of this study was to compare the bacterial filtration efficiency (BFE) between used surgical masks (eight hours) and unused masks (zero hours).</p><p><strong>Methods: </strong>208 surgical masks worn for eight hours in a row were studied. They were placed on a culture plate containing blood agar (Agar Columbia with sheep blood plus, Thermo Scientific) and sprayed a suspension of Staphylococcus aureus (ATCC 29313) at a distance of thirty centimeters. Culture plates were incubated at 37 °C for twenty-four hours. A count of colony forming units (CFU) was carried out. As a control for BFE, new non-worn masks were included. A t-test and a z-test were used at a 95% confidence level to compare the means of the two groups.</p><p><strong>Results: </strong>To establish the BFE, the CFU of the cultures from the used masks were compared with the control cultures without a mask. Likewise, the BFE of used masks was compared to that of new masks. The mean, median and mode values of the BFE of both masks, used and new ones, were greater than 99%. No statistically significant differences were detected between eight hours used masks and not used ones (zero hours).</p><p><strong>Conclusions: </strong>Surgical masks maintain a BFE equivalent to that new, unused surgical masks at eight hours.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319092","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}
{"title":"[Poliomyelitis in Spain: from the past to the present, a continuous challenge].","authors":"Pedro Gullón Tosio, Cristina Guijarro Castro","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":"e1-e4"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319094","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":"[The collapse of US responsible hegemony under the Trump administration and the implications for the World Health Organization: global risks].","authors":"Rosalía Fernández Vázquez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Donald Trump administration marks the end of responsible US hegemony, ushering in a foreign policy more focused on immediate national interests and reducing support for multilateral institutions such as the World Health Organization (WHO). This shift negatively impacts the WHO's ability to coordinate global responses to health emergencies, such as the COVID-19 pandemic, and to the growing threat of emerging and re-emerging diseases.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277171","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}
Juan Manuel Mérida-Téllez, Luciano Rodríguez-Díaz, Javier Fagundo-Rivera, Juan Gómez-Salgado
{"title":"[Is the Pilates method really beneficial?]","authors":"Juan Manuel Mérida-Téllez, Luciano Rodríguez-Díaz, Javier Fagundo-Rivera, Juan Gómez-Salgado","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":"e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277167","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":"[Gender perspective in Cardiogeriatrics: can we improve the care of older female patients?]","authors":"Yanira Aranda Rubio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Yentl syndrome was coined in 1991 by Bernadine Healy, director of the National Institutes of Health, who described how cardiovascular research focused on symptoms in men, leading to erroneous clinical judgments in women. Within cardiogeriatrics, heart failure is one of the most common pathologies, generating significant consumption of healthcare resources. Therefore, providing the best scientific evidence for these patients should be a priority.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277166","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}
Ele Dimitrova, Araceli Calle Martínez, Elena Mª Gras García, Pablo Vaquero Cepeda, Catarina Santos-Ribeiro
{"title":"[Reflections and proposals from the feminine to the feminist: I Conference on Leadership in Public Health, ARES-MPSP].","authors":"Ele Dimitrova, Araceli Calle Martínez, Elena Mª Gras García, Pablo Vaquero Cepeda, Catarina Santos-Ribeiro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The First Conference on Women's Leadership in Public Health organized by the Association of Residents in Preventive Medicine and Public Health (ARES MPSP) was presented as a space for reflection and learning about the transformative role of feminist leadership in the healthcare field. Through presentations, debates, and collaborative activities, the importance of integrating a feminist perspective was highlighted, one that not only promotes gender equality but also addresses the power dynamics that perpetuate structural inequalities. Intersectionality was highlighted as a key approach to analyze and respond to the multiple forms of discrimination faced by historically underrepresented groups such as women and gender-diverse individuals, recognizing that inclusive leadership must be aware of these realities. The event also allowed for questioning the differences between female and feminist leadership, emphasizing the need to reclaim feminism as a tool for social transformation. These sessions called for strengthening intergenerational alliances and networks, as well as fostering transformative leadership capable of inspiring and mobilizing people towards a more equitable and just Public Health. The active participation of the speakers and attendees was fundamental in consolidating this space as a driving force for change and a reference for future initiatives in the Public Health sector.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277169","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}
Silvia Tortosa-La Osa, María Victoria Esteo Alcalá, Eva Martín-Ruiz, Antonio Olry de Labry-Lima
{"title":"[Systematic review on the use of fish for vector control of mosquito-borne diseases].","authors":"Silvia Tortosa-La Osa, María Victoria Esteo Alcalá, Eva Martín-Ruiz, Antonio Olry de Labry-Lima","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>It is estimated that more that 80% of world´s population live in areas at risk from at least one major vector-borne disease, being mosquitoes responsible for a significant disease burden. Given that biological control is a more natural option compared to other available interventions and that the use of fish is widespread, the aim of this review was to analyze the effectiveness of fish-based interventions to control mosquito-borne diseases.</p><p><strong>Methods: </strong>A bibliographic search was conducted through PubMed, Embase, Cochrane, LILACS, WOS-Core Collection and CAB Abstracts for observational or experimental studies published in English, Spanish, or Portuguese up to December 2023. The outcome variables of interest were entomological and epidemiological indicators.</p><p><strong>Results: </strong>Of the 2,227 references identified, seven articles were ultimately included. All studies measured the impact using entomological indicators, while only two also used epidemiological indicators. The interventions involved the release of fish into domestic water containers, rice fields, and excavations or wells linked to a canal construction. All studies observed a significant reduction in both entomological and epidemiological indicators. The larval reduction ranged between 80% and 100%, while the reduction in clinical cases reached 99.87%.</p><p><strong>Conclusions: </strong>The release of fish leads to a meaningful reduction in both larval indicators and clinical cases. However, it is necessary to assess whether large-scale fish releases are feasible, sustainable, cost-effective, and sufficient to achieve vector control, as well as to consider the potential negative impact of their introduction into a given ecosystem.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277170","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}
{"title":"[The demographic impact of the 1918 flu epidemic through the spanish press].","authors":"Laura Almudéver Campo, Ramón E Camaño Puig","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The influenza epidemic of 1918 caused a great demographic impact that modified the decreasing mortality rate that had been occurring since the early twentieth century. The objective of this study was to analyze the morbidity and mortality figures that were reflected in the Spanish press as a result of the influenza epidemic.</p><p><strong>Methods: </strong>A selection of Spanish press was made through the Digital Newspaper Library of the National Library of Spain, from January 1, 1918 to December 31, 1920. The term flu was then searched in the selected media, and those analysis units that referred to the demographic impact of the influenza epidemic were selected. Finally, a quantitative analysis was conducted based on the year of study and the newspaper analyzed.</p><p><strong>Results: </strong>The newspapers analysed reported the number of people who became ill and died as a result of the influenza epidemic. A total of 3,601 copies were published, highlighting an increase during the second outbreak of the epidemic, with the newspaper ABC publishing the most information about mortality.</p><p><strong>Conclusions: </strong>Information on demographic statistics regarding mortality rates are common in the press at that time. The increase in general mortality coincides with the development of the three outbreaks of the epidemic, being very important the increase registered during the second outbreak (October 1918). The delay in the implementation of Public Health measures may be one of the causes of the large demographic impact of the influenza epidemic.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201229","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}
David López-Peña, María Barberá-Riera, Pilar Ausina-Aguilar, Leticia Fernández-Vidal
{"title":"[Actions in the Valencian Autonomous Region against the tiger mosquito and arboviruses in the period 2016-2021].","authors":"David López-Peña, María Barberá-Riera, Pilar Ausina-Aguilar, Leticia Fernández-Vidal","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>In recent years, arboviruses have become increasingly important in Europe due to autochthonous outbreaks of emerging and re-emerging diseases such as chikungunya fever, dengue and Zika. These viruses represent a threat in temperate areas such as the Valencian Community (CV), where the presence of their vector, the Asian tiger mosquito, is widely distributed. The objective of this work was to report on the actions carried out within the CV Programme, in the management of declared cases of imported arboviruses from 2016 to 2021.</p><p><strong>Methods: </strong>To this end, coordinated work procedures had been implemented between the Generalitat Valenciana and the University of Valencia in order to reduce the risk of autochthonous transmission through detection, surveillance and monitoring of the vector, as well as entomological surveys in the vicinity of the residence of infected citizens. The sample size consisted of forty-five imported cases, which had been analysed with the statistical software R version 3.3.</p><p><strong>Results: </strong>The presence of established tiger mosquito populations had been corroborated in a total of 273 municipalities during the study period, increasing the number of affected localities by the end of 2021 to 464 out of the total of 542 in the VC. The response time from the onset of symptoms to diagnosis, the time elapsed from diagnosis to reporting to the corresponding Environmental Health Unit and the completion of the entomological survey had been evaluated.</p><p><strong>Conclusions: </strong>Vector surveillance is essential. The time between the onset of the patient's symptoms and the diagnosis by health professionals must be reduced. The most numerous imported cases are those of dengue from Asia and Central America with 87.5% of hospitalizations.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277165","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}