Revista espanola de salud publica最新文献_第5页

[A multifaceted implementation strategy to enhance the uptake of evidence-based nursing recommendations in Spain: implementation project protocol]. [在西班牙加强采纳循证护理建议的多方面实施战略：实施项目协议]。

Revista espanola de salud publica Pub Date : 2024-09-24

Leticia Bernués-Caudillo, Esther González-María, Laura Albornos-Muñoz, M Teresa Moreno-Casbas

{"title":"[A multifaceted implementation strategy to enhance the uptake of evidence-based nursing recommendations in Spain: implementation project protocol].","authors":"Leticia Bernués-Caudillo, Esther González-María, Laura Albornos-Muñoz, M Teresa Moreno-Casbas","doi":"","DOIUrl":"","url":null,"abstract":"Objective: It is necessary to facilitate the implementation of evidence-based practice in clinical practice to improve patients' health results. Sumamos Excelencia® is an implementation project led by nurses that aims to improve the evidence-based practice uptake. Building on the first edition, we have improved the project design and proposed new intervention topics. The objective is to evaluate the effects of the implementation of evidence-based recommendations through a multifaceted implementation strategy.Methods: This study is an implementation research with a quasi-experimental, multicentre, before-and-after design and audits for data collection at baseline, 3, 6, and 12 months. It will be developed in hospital units, primary care centres, and nursing homes. Units choose to implement recommendations of one of these topics: assessment and management of pain, conservative management of urinary incontinence, prevention of childhood obesity, or breastfeeding promotion. All units will implement recommendations about hand hygiene. Audits will assess changes in process and patient outcomes, barriers and strategies, and evidence-based practice competencies through specific questionnaires and clinical records data. Analysis will be descriptive and inferential.Conclusions: Sumamos Excelencia® will aim to improve the use of evidence-based practice in the Spanish National Health System and to advance implementation science. This study will also provide important insight into the barriers that nurses face to implementing evidence-based practice in clinical practice and the strategies that they can use to overcome them. This generated knowledge can be used in other evidence-based practice implementation projects in a similar context to enhance adherence to evidence-based recommendations.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362669","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

[Outbreak of Raoultella ornithinolytica infection in patients cared at a hemodialysis center]. [在血液透析中心接受护理的患者中爆发鸟疫腊尔特菌感染]。

Revista espanola de salud publica Pub Date : 2024-09-19

Francisco José Martín Pérez, María José Molina Rueda, María Francisca Enríquez Maroto, Pilar Guijosa Campos

{"title":"[Outbreak of Raoultella ornithinolytica infection in patients cared at a hemodialysis center].","authors":"Francisco José Martín Pérez, María José Molina Rueda, María Francisca Enríquez Maroto, Pilar Guijosa Campos","doi":"","DOIUrl":"","url":null,"abstract":"Objective: In July 2022, an outbreak of Raoultella ornithinolytica infection was detected in users of a hemodialysis center in Granada and central venous catheter (CVC) users. The aim of this study was to describe the development of the outbreak and the control measures implemented as well as to identify the risk factors that may have been related to its origin.Methods: A study of a series of thirteen cases with positive blood culture for Raoultella ornithinolytica was conducted during July 2022. Two hypotheses were considered: direct transmission through contamination of the antiseptic product or cross-contamination through the hands of healthcare personnel. A descriptive data analysis was carried out, with the calculation of attack rates and attributable risk in the exposed group (CVC users).Results: The center performed dialysis on 117 patients. 36 patients had a CVC, and 81 had an arteriovenous fistula (AVF). The total number of infected cases was 13. The attack rate was 11.1%, being 36.1% in patients with CVC and 0% in patients with AVF. The symptoms occurred between 1 and 3 hours after the start of dialysis, except in three cases that occurred after receiving dialysis in other centers. Samples of water, liquids and antiseptics were negative.Conclusions: An outbreak of Raoultella ornithinolytica bacteraemia is confirmed, due to possible cross-contamination in the CVC handling and antisepsis process. Possibly, the germ was carried by a container of alcoholic chlorhexidine that contaminated the catheter and caused bacteremia during the hemodialysis process.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362671","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

[Prolonged television exposure in children and adolescents: health effects and protection strategies]. [儿童和青少年长期看电视：对健康的影响和保护策略]。

Revista espanola de salud publica Pub Date : 2024-09-18

José Francisco Díaz Cuesta, Ana Concheiro Guisán

{"title":"[Prolonged television exposure in children and adolescents: health effects and protection strategies].","authors":"José Francisco Díaz Cuesta, Ana Concheiro Guisán","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Since COVID-19 pandemic, screen time (ST) seems to have increased among children and young people. There is controversy about its impact in the physical and mental well-being of children. The aim of this study was to analyse the possible influence of excessive ST on child health through a systematic review of the literature.Methods: Systematic review was done by two independent reviewers. We analysed the medical literature (MEDLINE data base) from 2017 to 2022. Data related to the effects of ST on children´s health were analysed along with strategies that can mitigate those effects.Results: The search identified 3,151 articles, 37 finally selected as they fulfilled the demanded methodological quality criteria. Negative effects on children's health such as obesity, linked to a sedentary lifestyle, sleep disorders or anxiety problems in adolescents were detected. However, a better development of language or memory functioning, when interactive media were used, have also been described. Educational measures have proven useful in controlling exposure time and reducing exposure-related negative effects.Conclusions: Although high levels of ST could affect children`s health, we have recorded some positive effects that are enhanced when parents get involved in TV watching (co-viewing). Exposure time should be customized according to every child's lifestyle.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305217","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

[Effect of non-pharmacological preventive measures on the incidence of respiratory and gastrointestinal pathologies]. [非药物预防措施对呼吸道和胃肠道疾病发病率的影响]。

Revista espanola de salud publica Pub Date : 2024-09-12

Pablo Aldaz Herce, Iranzu Huarte Labiano, Nancy Gonzalo Herrera, Miren Oscariz Ojer, Javier Bartolome Resano, Joyssel Lopez Flores, Mercedes Zaragüeta Escribano

{"title":"[Effect of non-pharmacological preventive measures on the incidence of respiratory and gastrointestinal pathologies].","authors":"Pablo Aldaz Herce, Iranzu Huarte Labiano, Nancy Gonzalo Herrera, Miren Oscariz Ojer, Javier Bartolome Resano, Joyssel Lopez Flores, Mercedes Zaragüeta Escribano","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The use of non-pharmacological preventive measures during the COVID-19 pandemic has helped to reduce the incidence of multiple airborne or contact diseases. The objective of this paper was to evaluate the impact that all preventive measures have had on the transmission of different microorganisms, both by respiratory and contact transmission.Methods: We compared the incidence of different infectious episodes coded with the CIAP-2 code (International Classification of Primary Care second edition of the WONCA International Classification Committee) collected from the computerized history of primary care, both with respiratory tract and digestive tract involvement, in the period from March 2018 to February 2020 (pre-pandemic period) and from March 2020 to February 2022 (pandemic period). The data corresponded to the entire region, with an estimated average population for the four years of 650,000 people. The statistical treatment of the data consisted of a descriptive analysis with the calculation of absolute values and percentages. Rates were calculated and compared using data provided by the National Institute of Statistics as a denominator. The P was obtained by statistical comparison by the exact method. A comparison of rates was made.Results: The incidence in the number of CIAP-2 episodes studied, both corresponding to respiratory and gastrointestinal pathologies, comparing the period March 2018-February 2020 with the period March 2020-February 2022 decreased by 65.81%, from 534,439 cases to 182,707.Conclusions: The preventive measures applied during the pandemic produce a significant decrease in pathology involving the respiratory or the digestive tract.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305215","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

[OADI-HNDAC]. [OADI-HNDAC].

Revista espanola de salud publica Pub Date : 2024-09-05

César Bonilla-Asalde, Leonor Rivera-Chávez, Roxana Obando-Zegarra, Miluska Medina-Costillo, Paul Ruiz-Jara, Juan Hiyagon-Kian

引用次数: 0

[Assessment of the impact on mortality of air pollution by particles in the city of Valencia during the period 2015-2017]. [2015-2017年期间巴伦西亚市空气颗粒物污染对死亡率影响的评估]。

Revista espanola de salud publica Pub Date : 2024-09-05

Pablo Ángel López Fernández, Ana Martínez Álvarez, Ferran Ballester, Raquel Soler Blasco, Marisa Estarlich

{"title":"[Assessment of the impact on mortality of air pollution by particles in the city of Valencia during the period 2015-2017].","authors":"Pablo Ángel López Fernández, Ana Martínez Álvarez, Ferran Ballester, Raquel Soler Blasco, Marisa Estarlich","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Air pollution is a global public health issue, with particulate matter (PM) being the pollutant with the greatest impact on health. The main objective of this article was to estimate the impact of mortality attributable to particulate pollution in the city of Valencia during the period 2015-2017.Methods: The Health Impact Assessment (HIA) methodology from the Aphekom project was used. Scenarios of a 5 µg/m3 reduction in the annual mean concentration of PM10 and PM2.5 were employed, along with the assumption of meeting the World Health Organization (WHO) recommendations in effect during the study period, to estimate both short- and long-term impacts.Results: The estimated average concentrations for 2015-2017 were 18.4 µg/m3 for PM10 and 12.3 µg/m3 for PM2.5. The short-term HIA, assuming a reduction of 5 µg/m3 in the averages, resulted in a total of 65.4 premature deaths that could be postponed during that period (21.8 annually), corresponding to a rate of 2.8 deaths per 100,000 inhabitants. In the long term, if PM2.5 concentrations had been reduced by 5 µg/m3, 124 premature deaths could have been postponed annually.Conclusions: The annual average concentrations of these pollutants meet the limits set by European regulations. However, compared to WHO recommendations, PM2.5 levels are higher by 2.3 µg/m3. An air quality scenario in line with WHO recommendations would have resulted in a reduction of 122 premature deaths annually.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305214","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

[Is loneliness the future geriatric syndrome of the 21^st century?] [孤独是 21 世纪未来的老年综合症吗？］

Revista espanola de salud publica Pub Date : 2024-09-03

Yanira Aranda Rubio

引用次数: 0

[The epidemiological survey as a key instrument for events of Public Health importance]. [流行病学调查作为重要公共卫生事件的关键工具]。

Revista espanola de salud publica Pub Date : 2024-08-29

Héctor Sánchez-Herrero, Álvaro Solaz-García, Dolors Montserrat-Capella, Manuel Revuelta-Zamorano, Montserrat Solís-Muñoz

引用次数: 0

[Cross sectional study of odontological incidences on board the spanish Navy flagship Juan Carlos I during its first international peacekeeping mission]. [西班牙海军旗舰 "胡安-卡洛斯一世 "号首次执行国际维和任务期间舰上口腔疾病发病率的横断面研究]。

Revista espanola de salud publica Pub Date : 2024-08-27

Luis Megino Blasco, José Manuel Granero Marín

{"title":"[Cross sectional study of odontological incidences on board the spanish Navy flagship Juan Carlos I during its first international peacekeeping mission].","authors":"Luis Megino Blasco, José Manuel Granero Marín","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Oral health is an essential component of the general well-being and quality of life of the population. In Spain, access to dental services and emergency dental care for civilians is relatively straightforward. However, this is not the case for military personnel, especially those deployed on Navy ships that lack dental capabilities and in isolated areas where access to specialized healthcare services is complex and risky. The aim of this study was to evaluate the incidence and management of dental pathology among Spanish military personnel aboard the LHD 61 Juan Carlos I during its first International Peacekeeping Operation.Methods: A descriptive observational study was conducted on the accumulated incidences of dental pathology and treatments performed between May 1 and June 26, 2018. The population sample consisted of 448 Spanish military personnel aboard the ship. The data were obtained from the databases of the dental activity logbook and the military statistical and health data management systems, which serve to assess the actual health status of the force.Results: A total of 70 patients were treated for dental problems, with gingivitis and caries being the most prevalent conditions, accounting for 23.07% and 18.68% of cases, respectively. The most common treatments performed were dental reconstructions/fillings, making up 40% of the total, and tartar removal, accounting for 21%.Conclusions: Understanding the incidence of dental pathologies on Spanish Navy ships allows us to establish the training needs of the onboard medical personnel, as well as determine the material resources that should be provided to naval units. Prevention plans and pre-deployment dental check-ups should be conducted well in advance to address any dental issues on land before personnel are deployed.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116663","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

[One after the other: factors influencing the abandonment of Family and Community Medicine practice in young family physicians. A qualitative study]. [一个接一个：影响年轻家庭医生放弃家庭和社区医学实践的因素。定性研究]。

Revista espanola de salud publica Pub Date : 2024-07-31

Ana Pereira Iglesias, Maite Cruz Piqueras, Sergio Minué Alonso

{"title":"[One after the other: factors influencing the abandonment of Family and Community Medicine practice in young family physicians. A qualitative study].","authors":"Ana Pereira Iglesias, Maite Cruz Piqueras, Sergio Minué Alonso","doi":"","DOIUrl":"","url":null,"abstract":"Objective: A strong Primary Care has beneficial health effects. Its more beneficial attribute is longitudinality, which requires job stability in order to occur. In addition, Primary Care is facing a crisis due to the number of retirements it expects. The permanence of young professionals in Primary Care could contribute to improve longitudinality and the generational turnover of professionals. Therefore, this study explored the reasons that influence the abandonment of Family Medicine among young family physicians.Methods: A qualitative descriptive-interpretative study was carried out in Granada and Madrid in 2022. By means of purposive snowball sampling, young family physicians who had left their job were recruited, with whom in-depth interviews and a triangular group were carried out. The information was coded inductively and analyzed according to the thematic content analysis method.Results: Young family physicians left Family Medicine due to the frustration of not being able to practice as they would like to, job dissatisfaction and a pessimistic view of their future as workers. The decision to leave by these young professionals had been favored by the worsening of working conditions after the pandemic and by the values they have regarding work.Conclusions: The decision of young family physicians to leave the practice of Family Medicine is complex. To contribute to their permanence in Primary Care, it's necessary to improve their working conditions and increase the prestige of Family Medicine.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006228","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