Publication[Pulse oximetry: Role in the COVID-19 patient at home].(2021-04-20) Serrano-Cumplido, A; Trillo Calvo, E; García Matarín, L; Del Río Herrero, A; Gamir Ruiz, F J; Molina Escribano, F; Velilla Zancada, SCOVID-19 behaves like a heterogeneous disease. Some patients may develop dyspnea-free hypoxemia during its evolution (silent hypoxemia). Pulse oximetry plays a crucial role in detecting hypoxemia in these patients, especially when they remain at home. Patients with SpO2 levels ≤ 92% or desaturations ≥ 3% after exercise test require hospital admission. Progressive saturation declines reaching SpO2 levels PublicationExperience in Spain with the first patients in home hemodialysis treated with low-flow dialysate monitors.(2022-11-15) Roblero, Maria Fernanda Slon; Rubio, Maria Auxiliadora Bajo; González-Moya, Mercedes; Varela, Jesús Calviño; Alba, Alejandro Pérez; Gumpert, Juan Villaro; Cigarrán, Secundino; Vidau, Pedro; Marcos, Sergio García; Luquin, Pedro Abáigar; Piera, Elisabet Coll; Mariño, Antonio Gascón; Espigares, Maria José; Molina, Mariola D; Molina, PabloHome hemodialysis (HHD) with low-flow dialysate devices has gained popularity in recent years due to its simple design, portability, and ability to provide greater freedom of movement for our patients. However, there are doubts about the adequacy that this technology offers, since it uses monitors with low-flow bath and lactate. The aim of this study was to demonstrate the clinical benefits of low-flow HHD with the NxStage System One® recently introduced in Spain. We present the results of an observational, retrospective cohort study that included the first patients who started short daily HHD with this device in 12 Spanish centers. We analyzed the evolution of 86 patients at 0, 6 and 12 months, including data related to prescription, and evolution of biochemical parameters related to dialysis dose, anemia, mineral-bone metabolism; evolution of residual renal function, medication usage, and causes of withdrawal during the followup. We were able to demonstrate that this NxStage System One® monitor, in patients with HHD, have provided an adequate dialysis dose, with optimal ultrafiltration rate, with improvement of main biochemical markers of dialysis adequacy. The usage of this technique was associated to a decrease of antihypertensive drugs, phosphate binders and erythropoietin agents, with very good results both patient and technique survival. The simplicity of the technique, together with its good clinical outcomes, should facilitate the growth and utilization of HHD, both in incident and prevalent patients. PublicationExperience in Spain with the first patients in home hemodialysis treated with low-flow dialysate monitors.(2021-08-12) Slon Roblero, Maria Fernanda; Bajo Rubio, Maria Auxiliadora; González-Moya, Mercedes; Calviño Varela, Jesús; Pérez Alba, Alejandro; Villaro Gumpert, Juan; Cigarrán, Secundino; Vidau, Pedro; García Marcos, Sergio; Abáigar Luquin, Pedro; Coll Piera, Elisabet; Gascón Mariño, Antonio; Espigares, Maria José; Molina, Mariola D; Molina, PabloHome hemodialysis (HHD) with low-flow dialysate devices has gained popularity in recent years due to its simple design, portability, and ability to provide greater freedom of movement for our patients. However, there are doubts about the adequacy that this technology offers, since it uses monitors with low-flow bath and lactate. The aim of this study was to demonstrate the clinical benefits of low-flow HHD with the NxStage System One® recently introduced in Spain. We present the results of an observational, retrospective cohort study that included the first patients who started short daily HHD with this device in 12 Spanish centers. We analyzed the evolution of 86 patients at 0, 6 and 12 months, including data related to prescription, and evolution of biochemical parameters related to dialysis dose, anemia, mineral-bone metabolism; evolution of residual renal function, medication usage, and causes of withdrawal during the followup. We were able to demonstrate that this NxStage System One® monitor, in patients with HHD, have provided an adequate dialysis dose, with optimal ultrafiltration rate, with improvement of main biochemical markers of dialysis adequacy. The usage of this technique was associated to a decrease of antihypertensive drugs, phosphate binders and erythropoietin agents, with very good results both patient and technique survival. The simplicity of the technique, together with its good clinical outcomes, should facilitate the growth and utilization of HHD, both in incident and prevalent patients. PublicationPredictive factors of six-week mortality in critically ill patients with SARS-CoV-2: A multicenter prospective study.(2022) Estella, Á; Garcia Garmendia, J L; de la Fuente, C; Machado Casas, J F; Yuste, M E; Amaya Villar, R; Estecha, M A; Yaguez Mateos, L; Cantón Bulnes, M L; Loza, A; Mora, J; Fernández Ruiz, L; Díez Del Corral Fernández, B; Rojas Amezcua, M; Rodriguez Higueras, M I; Díaz Torres, I; Recuerda Núñez, M; Zaheri Beryanaki, M; Rivera Espinar, F; Matallana Zapata, D F; Moreno Cano, S G; Gimenez Beltrán, B; Muñoz, N; Sainz de Baranda Piñero, A; Bustelo Bueno, P; Moreno Barriga, E; Rios Toro, J J; Pérez Ruiz, M; Gómez González, C; Breval Flores, A; de San José Bermejo Gómez, A; Ruiz Cabello Jimenez, M A; Guerrero Marín, M; Ortega Ordiales, A; Tejero-Aranguren, J; Rodriguez Mejías, C; Gomez de Oña, J; de la Hoz, C; Ocaña Fernández, D; Ibañez Cuadros, S; Garnacho Montero, J; Work Group of Infectious Disease (GTEI) de la Sociedad Andaluza de Medicina Intensiva y Unidades coronarias SAMIUCThe objective of the study is to identify the risk factors associated with mortality at six weeks, especially by analyzing the role of antivirals and munomodulators. Prospective descriptive multicenter cohort study. 26 Intensive care units (ICU) from Andalusian region in Spain. Consecutive critically ill patients with confirmed SARS-CoV-2 infection were included from March 8 to May 30. None. Variables analyzed were demographic, severity scores and clinical condition. Support therapy, drug and mortality were analyzed. An univariate followed by multivariate Cox regression with propensity score analysis was applied. 495 patients were enrolled, but 73 of them were excluded for incomplete data. Thus, 422 patients were included in the final analysis. Median age was 63 years and 305 (72.3%) were men. ICU mortality: 144/422 34%; 14 days mortality: 81/422 (19.2%); 28 days mortality: 121/422 (28.7%); 6-week mortality 152/422 36.5%. By multivariable Cox proportional analysis, factors independently associated with 42-day mortality were age, APACHE II score, SOFA score at ICU admission >6, Lactate dehydrogenase at ICU admission >470U/L, Use of vasopressors, extrarenal depuration, %lymphocytes 72h post-ICU admission 6, Lactate dehydrogenase at ICU admission >470U/L, Use of vasopressors, extrarenal depuration, %lymphocytes 72h post-ICU admission 470U/L, Use of vasopressors, extrarenal depuration, %lymphocytes 72h post-ICU admission Age, APACHE II, SOFA>value of 6 points, along with vasopressor requirements or renal replacement therapy have been identified as predictor factors of mortality at six weeks. Administration of corticosteroids showed no benefits in mortality, as did treatment with tocilizumab. Lopinavir/ritonavir administration is identified as a protective factor. PublicationGenetic variants in the NF-κB signaling pathway (NFKB1, NFKBIA, NFKBIZ) and risk of critical outcome among COVID-19 patients.(2022-06-21) Camblor, Daniel G; Miranda, Daniel; Albaiceta, Guillermo M; Amado-Rodríguez, Laura; Cuesta-Llavona, Elías; Vázquez-Coto, Daniel; Gómez de Oña, Julia; García-Lago, Claudia; Gómez, Juan; Coto, EliecerThe NF-κB signaling pathway is a key regulator of inflammation in the response to SARS-CoV-2 infection. This pathway has been implicated in the hyperinflammatory state that characterizes the severe forms of COVID-19. The genetic variation of the NF-κB components might thus explain the predisposition to critical outcomes of this viral disease. We aimed to study the role of the common NFKB1 rs28362491, NFKBIA rs696 and NFKBIZ rs3217713 variants in the risk of developing severe COVID-19 with ICU admission. A total of 470 Spanish patients requiring respiratory support in the ICU were studied (99 deceased and 371 survivors). Compared to healthy population controls (N = 300), the NFKBIA rs696 GG genotype was increased in the patients (p = 0.045; OR = 1.37). The NFKBIZ rs3217713 insertion homozygosis was associated with a significant risk of death (p = 0.02; OR = 1.76) and was also related to increased D-dimer values (p = 0.0078, OR = 1.96). This gene has been implicated in sepsis in mice and rats. Moreover, we found a trend toward lower expression of the NFKBIZ transcript in total blood from II patients. In conclusion, variants in the NF-κB genes might be associated with the risk of developing severe COVID-19, with a significant effect of the NFKBIZ gene on mortality. Our results were based on a limited number of patients and require validation in larger cohorts from other populations. PublicationT2 Biomarkers as Predictors of Exacerbations of Chronic Obstructive Pulmonary Disease.(2021-11-27) Alcázar-Navarrete, Bernardino; Díaz-Lopez, Jose Manuel; García-Flores, Paula; Ortega-Antelo, Marina; Aguilar-Cruz, Ivan; Ruiz-Rodríguez, Oliverio; Santiago-Diaz, Pablo; Romero Palacios, Pedro JoséType 2 (T2) biomarkers such as blood eosinophil count (BEC) and FeNO have been related to a higher risk of exacerbations in COPD. It is unknown whether combining these biomarkers could be useful in forecasting COPD exacerbations. COPD patients were enrolled in this prospective, multicenter, observational study and followed up for 1 year, during which BEC were analysed at baseline (V0) while FeNO analyses were performed at baseline (V0), 6 months (V1) and 12 months (V2). The risk of moderate or severe exacerbation during follow up was assessed by Cox regression analysis, and the predictive capacity of both measurements was assessed by ROC curves and the DeLong test. Statistical significance was assumed at P Of the 322 COPD patients initially recruited, 287 were followed up. At baseline, 28.0% were active smokers, and experienced moderate airflow limitation (mean FEV1 56.4%±17.0% predicted). Patients with at least one elevated T2 biomarker (n=125, 42.5%) were at increased risk of COPD exacerbation (HR 1.75, 95% CI 1.25-2.45, P=.001) and of shorter time to first COPD exacerbation. There was no difference between BEC and FeNO regarding the predictive capacity for moderate to severe exacerbation (AUC 0.584 vs 0.576, P=.183) but FeNO predicted severe episodes more accurately than BEC (AUC 0.607 vs 0.539, P Both eosinophil count and FeNO have limited utility for predicting COPD exacerbations. Combining these T2 biomarkers could enhance the detection of future COPD exacerbations. Publication[Consensus document for the management of schistosomiasis in Primary Care].(2022-06-23) Salas-Coronas, Joaquín; Pérez Pérez, Alejandra; Roure, Silvia; Sánchez Peinador, Carmen; Santos Larrégola, Laura; Arranz Izquierdo, Javier; Bocanegra, Cristina; García López Hortelano, Milagros; García Vázquez, Elisa; Moza Moriñigo, Helena; Azkune Galparsoro, HarkaitzHuman schistosomiasis is the parasitic disease with the highest morbidity and mortality worldwide after malaria. It is endemic in more than 78 tropical and subtropical countries, especially in sub-Saharan Africa, and it is estimated that 236 million people are infected. It can cause serious health complications at the genitourinary and hepatosplenic level, leading to the death of 300,000 people each year. The number of imported cases in Western countries has increased in recent years due to the arrival of a significant number of migrants from endemic regions and a growing number of travelers who have visited them. On the other hand, outbreaks of autochthonous transmission have recently been reported in Corsica (France) and Almería (Spain). For all these reasons, the European health authorities have recommended serological screening for the disease in all migrants from endemic areas who have been living in Europe for less than 5 years. Since Primary Care is usually the first point of contact for these people with the Health System, doctors must know the main aspects of the disease, and be provided with the necessary means for its diagnosis and treatment. This document has been prepared by professionals belonging to five scientific societies of Primary Care (SEMFyC, SEMG, SEMERGEN), Pediatrics (SEIP) and Tropical Medicine and International Health (SEMTSI), in order to establish clear recommendations for the diagnosis and management of schistosomiasis in Primary Care. Publication[Do neonatologists in Spain offer an interview with parents during pregnancy? National survey].(2021-07-31) López González, M Fernanda; Vela Enríquez, Francisco; García Martín, Raúl; Vargas Pérez, Manuel PublicationPharmacist-driven antimicrobial stewardship program in a long-term care facility by assessment of appropriateness.(2022-11-14) Cantudo-Cuenca, María Rosa; Jimenez-Morales, Alberto; la Plata, Juan Enrique Martínez-deA prospective quasi-experimental study to implement an ASP in a LTCF. Antibiotic prescriptions for suspected infections initiated in any setting for LTCF residents were included. We assessed appropriateness and prospective audits and feedback of each inappropriate antimicrobial prescription were carried out. Associations of variables with appropriate antibiotic prescribing were estimated using logistic regression. A total of 416 antibiotic prescriptions were included. The mean consumption of antibiotics was reduced from 63.2 defined daily doses per 1000 residents days (DRD) in the preintervention period to 22.8 in the intervention period (- 63.8%), with a significant drop in fluoroquinolones (81.4%). Overall, 46.6% of antibiotic prescriptions were judged inappropriate, mainly because of a use not recommended in treatment guidelines (63.2%). Multivariable analysis showed that empirical therapy, some classes of antibiotics (cephalosporins, fluoroquinolones, fosfomycin calcium, macrolides) and prescription initiation in the emergency department were independent predictors of antimicrobial inappropriateness. Pharmacist-led ASP in a LTCF has being effective in reducing consumption of antibiotics by improving appropriateness of treatment decisions. However, ASP should include interventions in the emergency department because of the high inappropriate use in this setting. PublicationFactors associated with readmission to the Emergency Department in a cohort of COVID-19 hospitalized patients(Mre press, 2022-01-01) Romero-Duarte, Alvaro; Rivera-Izquierdo, Mario; Jesus Lainez-Ramos-Bossini, Antonio; Redruello-Guerrero, Pablo; Cardenas-Cruz, Antonio; [Romero-Duarte, Alvaro] Univ Granada, Fac Med, Granada 18016, Spain; [Redruello-Guerrero, Pablo] Univ Granada, Fac Med, Granada 18016, Spain; [Rivera-Izquierdo, Mario] Hosp Univ Clin San Cecilio, Serv Prevent Med & Publ Hlth, Granada 18016, Spain; [Rivera-Izquierdo, Mario] Univ Granada, Dept Prevent Med & Publ Hlth, Granada 18016, Spain; [Rivera-Izquierdo, Mario] Inst Biosanitario Granada Ibs GRANADA, Granada 37007, Spain; [Jesus Lainez-Ramos-Bossini, Antonio] Virgen de las Nieves Univ Hosp, Dept Radiol, Granada 18016, Spain; [Jesus Lainez-Ramos-Bossini, Antonio] Univ Granada, PhD Programme Clin Med & Publ Hlth, Granada 18016, Spain; [Cardenas-Cruz, Antonio] Univ Granada, Dept Med, Granada 18016, Spain; [Cardenas-Cruz, Antonio] Hosp Poniente, Intens Care Unit, Almeria 04003, Spain; 'Artificial Intelligence for the diagnosis and prognosis of COVID-19' project - Consejeria de Transformacion Economica, Industria, Conocimiento y Universidades; Junta de Andalucia; FEDER fundsIntroduction: The aim of this study was to describe the symptomatology and main factors associated with readmission to the Emergency Department (ED) in COVID-19 patients discharged from hospital during the first wave of the pandemic at the San Cecilio University Hospital, Granada. Spain.Methods: An observational longitudinal study was conducted in a cohort of 441 patients admitted to our hospital with confirmed SARS-CoV-2 pob merase chain reaction (PCR) from 1 March to 15 April 2020. Patients were followed up through medical records 6 months after discharge. Sociodemographic, clinical and symptomatologic variables were collected. Descriptive. bivariate and multivariate logistic regression analyses were performed.Results: The mean age of patients in the cohort was 66.4 years (s = 15.3), with 55.1% men. In-hospital mortality was 18.1% The presence of persistent symptomatology was high (64.5%), especially respiratory (53.2%), systemic (46.3%) and neurological (31.0%). A total of 75 (20.8%) patients were readmitted to the ED during the 6 months following hospital discharge. The main factors associated with readmission to the ED were polymedication (P = 0.031), living in a care home (P = 0.014), fever (P = 0.047). general malaise (P PublicationST-elevation myocardial infarction (STEMI) secondary to splenic rupture after colonoscopy.(2022) Requena de Torre, José; de la Hoz García, Celia; Navarro Guillamón, Laura; Vaserott Vargas, Francisco Javier; Robles-Musso Castillo, Emilio; Martínez Amate, Eva María; Ariza Fernández, José Luis; Cárdenas Cruz, AntonioWe have read with interest the recently published case on splenic rupture after colonoscopy. Although this complication is being observed more frequently, in the case presented here, the particularity lies in the myocardial ischemia caused as a consequence of stasis at coronary level, determining a situation of extreme gravity, a diagnostic challenge and a therapeutic emergency. PublicationEfficacy and safety of tofacitinib in the treatment of ulcerative colitis: real-life experience in Andalusia.(2022) Hernández Martínez, Alvaro; Navajas Hernández, Pilar; Martín Rodríguez, María Del Mar; Lázaro Sáez, Marta; Olmedo Martín, Raúl; Núñez Ortiz, Andrea; Argüelles Arias, Federico; Fernández Cano, María Carmen; Gallardo Sánchez, Francisco; Marín Pedrosa, Sandra; González García, Javier; Vázquez Morón, Juan Maríatofacitinib is a Janus kinase inhibitor approved for the treatment of moderate-severe ulcerative colitis (UC). This study aimed to evaluate its efficacy in a real-life setting. a retrospective and multicenter observational study was performed with UC patients treated with tofacitinib. Short and long-term treatment effectiveness, treatment survival, need for dose escalation and safety were analyzed. Clinical response and remission were defined in accordance with the partial Mayo score. seventy-four patients were included, 98.3 % had received prior biological treatment, 55.4 % with three or more biologicals and up to 64.9% with two or three different mechanisms of action. Clinical remission and response rates were 37.8 % and 77 % at eight weeks, and 41.8 % and 70.1 % at 16 weeks. With regard to non-responders at eight weeks, 37.5 % achieved a delayed clinical response at 16 weeks. Mean treatment duration was 19 months (95 % CI: 16-22), with a treatment survival of 56 % at 28 months, and remission and response rates at 24 months of 53.8 % and 61.5 %. Twenty-three treatments were withdrawn, most of them (18) during the induction period. There were adverse events in a quarter of the patients; only four were severe and led to treatment discontinuation. tofacitinib has a demonstrated efficacy in clinical practice to induce and maintain clinical response in treatment-refractory UC patients, with an acceptable safety profile. PublicationAzathioprine-induced alopecia: a rare adverse event, early marker of myelotoxicity.(2022) Vázquez Rodríguez, Juan Antonio; Merino Gallego, Esther; Baños Arévalo, Antonio José; Gallardo Sánchez, Francisco; Miras Lucas, Leticia; Pérez González, ÁlvaroThough not exempt from adverse events, azathioprine (AZA) is an inexpensive and effective drug in the induction and maintenance treatment of patients with inflammatory bowel disease. We present the case of a 20-year-old female patient with left-side ulcerative colitis in whom AZA was started at a dose of 1.5 mg/kg/day due to dependence on corticoids (thiopurine methyltransferase activity: 14.9 U/mL). Two weeks after starting treatment she began to report excessive hair loss, resulting in an almost complete loss of scalp hair. PublicationTeen dating violence. Implications of sexism and religion(Centro interamericano investigaciones psicologicas y ciencias afines-ciipca, 2022-01-01) Sola, David Rodriguez; Ayala, Encarnacion Soriano; [Sola, David Rodriguez] Hosp Poniente, Almeria, Spain; [Ayala, Encarnacion Soriano] Univ Almeria, Almeria, Spain; [Ayala, Encarnacion Soriano] Grp Invest HUM665 Invest & Evaluac Educ Intercult, Almeria, SpainTeen dating violence is defined as the physical, sexual, psycho-emotional violence that occurs within couple relationships during adolescence. These are relationships that threaten the well-being, health or integrity of the couple and that use mechanisms of control or domination of the couple through coactive or coercive tactics.With this research we have tried to find out about life satisfaction, the physical, psychological and communicative violence suffered by adolescent men and women who are religious or not. In addition, detect sexist behaviours in young people of both sexes and assess behaviours based on religious practice.A descriptive, cross-sectional and predictive study was carried out. Cluster random sampling was carried out when selecting secondary schools in South-eastern Spain. The study included 1 036 adolescents with ages between 14 and 19 years old, of whom 48.1 % were men and 51.9 % women.To fulfill the objectives together with demographic and personal data, the Satisfaction with Life Scale (SWLS) is applied, which assesses the cognitive aspects of well-being. The Psychological Violence Scale is applied with the objective of assessing the psychological and emotional violence. To know the physical violence and authoritarian behaviour, the Physical Violence Scale is applied. Finally, the Violence in Communication and Relationship with Others Scale is introduced for studying online violence and relationship violence. The three violence scales have been adapted, developed and validated by Soriano and Aguilera (2017). Finally, the questionnaire on sexist behaviours collects information on false beliefs and sexist behaviours.The data collection procedure followed the standards set out in the Helsinki Convention (2013) for scientific research involving human participants.Regarding the results, in the first of the logistic regression models, it is good for boys to go out with many girls, but not the other way around (Wald = 14.461; p=.000; OR = 4.047), it is observed to be that boys are 4.047 times more likely to agree with this attitude than girls. Also, it is statistically significant that sometimes you have to threaten others to know who is in charge, (Wald = 8.107; p=.004; OR = 2.173), which indicates that the boys are 2.173 times more likely in accordance with that conduct that the girls. It is also statistically significant that when a woman is assaulted by her partner she will have done something to provoke him, (Wald = 16.315; p=.000; OR = 3.538), making it 3.538 times more likely that boys support this attitude than girls. At the same time, it is statistically significant that the violence that occurs within the home is a family matter and should not leave there, (Wald = 4.132; p=.042; OR = 1.694), which also indicates that boys are 1.694 times more likely to adopt this behaviour than girls. Regarding the perception of violence, it is observed that men perceive more violence than women, being significant for the three types of violence studied (p PublicationCan High Levels of Hindrance Demands Increase the Worker's Intellectual Response?(Mdpi, 2022-03-01) Martin-Martin, Francisco G.; Diaz-Funez, Pedro A.; Durniat, Katarzyna; Salvador-Ferrer, Carmen Maria; Llopis-Marin, Juan Manuel; Limbert, Caroline; Angel Manas-Rodriguez, Miguel; [Martin-Martin, Francisco G.] Univ Almeria, Res Team Psychol Work Org & Human Resources IPTOR, Almeria 04120, Spain; [Diaz-Funez, Pedro A.] Univ Almeria, Res Team Psychol Work Org & Human Resources IPTOR, Almeria 04120, Spain; [Salvador-Ferrer, Carmen Maria] Univ Almeria, Res Team Psychol Work Org & Human Resources IPTOR, Almeria 04120, Spain; [Llopis-Marin, Juan Manuel] Univ Almeria, Res Team Psychol Work Org & Human Resources IPTOR, Almeria 04120, Spain; [Angel Manas-Rodriguez, Miguel] Univ Almeria, Res Team Psychol Work Org & Human Resources IPTOR, Almeria 04120, Spain; [Martin-Martin, Francisco G.] Hosp Poniente, Andalusian Publ Hlth Syst, Almeria 04700, Spain; [Durniat, Katarzyna] Univ Wroclaw, Fac Hist & Pedag Sci, Inst Psychol, PL-50137 Wroclaw, Poland; [Limbert, Caroline] Cardiff Metropolitan Univ, Appl Psychol & Behav Change Res Grp, Cardiff CF5 2YB, WalesJob demands are factors that are associated with a physical and psychological cost when it comes to coping with them, but which can also positively affect the motivational process. Demands such as overload, defined as an excessive workload, have not presented positive results in any of the studies that have related it to employee engagement. The present study aims to delve into the possible positive effect of this demand on the intellectual bonding of employees. It is hypothesized that: (a) Initially, the increase in the perception of work overload will show a negative influence on the intellectual engagement of the employees; but (b) high perceptions of overload will change this effect, producing an increase in the intellectual dimension of engagement. The sample is made up of 706 employees of a Spanish multinational company. The results support this asymmetric curvilinear influence. The level of intellectual engagement is significantly reduced when the role overload increases from the lower values of the scale. However, upon reaching high levels of role overload, the intellectual engagement response begins to grow. These results challenge the conceptualization of overload as only negative and opens the door to consider that the positive response to a demand can also occur at high levels of it. PublicationOrthopedic Surgeons' Accuracy When Orienting an Acetabular Cup. A Comparison with Untrained Individuals.(2022-07-21) Moreta, Jesús; Gayoso, Óscar; Donaire-Hoyas, Daniel; Roces-García, Jorge; Gómez-Vallejo, Jesús; Moya-Gómez, Esther; Raya-Roldán, David; Albert-Ullibarri, Alberto; Marqués-López, Fernando; Albareda, JorgeBackground and Objectives: Previous studies demonstrated a huge variability among surgeons when it comes to reproducing the position of an acetabular cup in total hip arthroplasty. Our main objective is to determine if orthopedic surgeons can replicate a given orientation on a pelvic model better than untrained individuals. Our secondary objective is to determine if experience has any influence on their ability for this task. Materials and Methods: A group of specialist orthopedic hip surgeons and a group of volunteers with no medical training were asked to reproduce three given (randomly generated) acetabular cup orientations (inclination and anteversion) on a pelvic model. Error was measured by means of a hip navigation system and comparisons between groups were made using the appropriate statistical methods. Results: The study included 107 individuals, 36 orthopedic surgeons and 71 untrained volunteers. The mean error among surgeons was slightly greater as regards both inclination (7.84 ± 5.53 vs. 6.70 ± 4.03) and anteversion (5.85 ± 4.52 vs. 5.48 ± 3.44), although statistical significance was not reached (p = 0.226 and p = 0.639, respectively). Similarly, although surgeons with more than 100 procedures a year obtained better results than those with less surgical experience (8.01 vs. 7.67 degrees of error in inclination and 5.83 vs. 5.87 in anteversion), this difference was not statistically significant, either (p = 0.852 and p = 0.981). Conclusions: No differences were found in the average error made by orthopedic surgeons and untrained individuals. Furthermore, the surgeons' cup orientation accuracy was not seen to improve significantly with experience. PublicationPatients' Experiences and Communication with Teledermatology versus Face-to-Face Dermatology.(2022-09-21) Leal-Costa, Cesar; Lopez-Villegas, Antonio; Perez-Heredia, Mercedes; Baena-Lopez, Miguel Angel; Hernandez-Montoya, Carlos Javier; Lopez-Liria, Remedios(1) Background: Teledermatology (TD) has exponentially grown since the onset of COVID-19, as the Face-to-Face Dermatology (F-F/D) modality changed within Public Health Systems. Although studies have been conducted on health results, we did not find any that analyzed the experiences of individuals who received care through TD. Therefore, the main objective of the study was to analyze the experiences of dermatology patients and the communication with health personnel. (2) Methods: A multicenter, controlled, randomized, non-blinded clinical trial was designed. Data were collected during the six months of follow-up. Four-hundred and fifty patients participated in the present study, who were assigned to two different groups: TD and F-F/D. The sociodemographic and clinical characteristics of the participants were collected. The ‘Generic Short Patient Experiences Questionnaire’ (GS-PEQ) was used to assess patients’ experiences, and the Healthcare Communication Questionnaire (HCCQ) was used to measure the communication of patients with healthcare professionals. (3) Results: After six months of follow-up, 450 patients completed the study (TD = 225; F-F/D = 225) of which 53.3% were women, with an average age of 52.16 (SD = 19.97). The main reasons for the consultations were skin lesions (51.56%) located on the head and neck (46.8%), followed by the legs (20.7%). According to the GS-PEQ, TD users indicated having a greater confidence in the professional skills of the doctors (p PublicationImpact of the COVID-19 Pandemic on Healthcare Activity in the Regional Hospitals of Andalusia (Spain).(2022-01-12) Lopez-Villegas, Antonio; Bautista-Mesa, Rafael Jesus; Baena-Lopez, Miguel Angel; Garzon-Miralles, Antonio; Castellano-Ortega, Miguel Angel; Leal-Costa, Cesar; Peiro, Salvador(1) Background: The large global outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has overloaded the public health systems and reduced the regular healthcare activity, leading to a major health crisis. The main objective of this study was to carry out a comparative evaluation of the healthcare activities in the hospitals of Eastern Andalusia, Spain. (2) Methods: In this study, an observational, multicentered, and retrospective approach was adopted to compare the healthcare activities of the Poniente Hospital (PH) and the Alto Guadalquivir Health Agency (AGHA). Data was collected over a period of 24 months, i.e., from 1 January 2019 to 31 December 2020, and the variables evaluated were: patients seen in the hospital emergency service (HES), X-ray tests performed, patients cited in outpatient consultations, surgical interventions performed, and patients included in the waiting list. (3) Results: The analysis of the above-mentioned variables revealed a significant reduction in the number of patients registered in 2020 at HES as compared to that in 2019 for both PH (p = 0.002) and AGHA (p PublicationBiohazard Accidents, Harmful Elements to the Wellness of Healthcare Workers, and Their Risk Factors.(2022-10-14) Tejada-Pérez, Juan José; Herrera-Burgos, María Renée; Parrón-Carreño, Tesifón; Alarcón-Rodríguez, RaquelFor healthcare personnel, biohazard accidents pose a significant risk to their health. These exposures can enable the transmission of pathogens such as Hepatitis B, Hepatitis C, and human immunodeficiency virus (HIV). To indicate and quantify the risk associated with higher threatening situations, such as biohazard accidents on repeated occasions or incorrect notifications to injured healthcare professionals. A cross-sectional study was conducted at the Poniente Hospital in Almeria (Spain). In total, 592 participants reported 1062 accidents and their characteristics and notifications were analyzed. It was found that women (OR = 1.29) working in the surgical area (OR = 2.92), those on indefinite contracts (OR = 1.67), and those with high work experience (OR = 1.14) were the main risk factors for multiple biohazard accidents. Concerning the incorrect notification of these accidents, the main risk factors were work performance during the afternoon shift (OR = 1.72) and the fact that the accident was caused by the injured worker himself (OR = 1.53). This study outlined the main factors that can contribute to healthcare professionals suffering these accidents. As a result, corrective measures must be taken against these risk factors to improve safety for healthcare workers in the future. PublicationResearch on Schistosomiasis in the Era of the COVID-19 Pandemic: A Bibliometric Analysis.(2022-06-30) Sánchez-Marqués, Raquel; Mas-Coma, Santiago; Salas-Coronas, Joaquín; Boissier, Jerôme; Bargues, María DoloresThe objectives of this work are to check whether the COVID-19 pandemic affected the research on schistosomiasis, to provide an insight into the most productive countries and journals and the most cited publications, and to analyse any association between the total publications of countries and a set of socio-economic and demographic factors. Based on PRISMA methodology, we used the Scopus database to search for articles published between 1 January 2020 and 26 March 2022. VOSviewer was used to generate the co-authorship and the co-occurrence networks, and Spearman's rank correlation was applied to study associations. A total of 1988 articles were included in the study. Although we found that the year-wise distribution of publications suggests no impact on schistosomiasis research, many resources have been devoted to research on COVID-19, and the Global Schistosomiasis Alliance revealed the main activities for eradication of schistosomiasis had been affected. The most productive country was the United States of America. The articles were mainly published in PLoS Neglected Tropical Diseases. The most prolific funding institution was the National Natural Science Foundation of China. The total publications per country were significantly correlated with population, GERD, and researchers per million inhabitants, but not with GDP per capita and MPM.