PublicationFees for laboratory analyses of tobacco and related products in Europe: The next step forward(European Publishing, 2023-04-09) Davoli, Enrico; Gallus, Silvano; Mattioli, Federica; Lugo, Alessandra; Solimini, Renata; Ruiz-Dominguez, Francisco; Troasur, Miguel M.; Vardavas, Constantine; [Davoli,E; Gallus,S; Mattioli,F; Lugo,A] Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy [Solimini,R] Istituto Superiore di Sanità (ISS), Rome, Italy. [Ruiz-Dominguez,F] Andalusian Regional Ministry of Health and Consumer Affairs, General Directorate of Public Health, Seville, Spain. [Troasur,MM] Agency for Agrarian and Fisheries Management of Andalusia, Seville, Spain. [Vardavas,C] University of Crete, Heraklion, Greece. PublicationMortalidad durante los dos primeros años de la pandemia de COVID-19 en Andalucía: cambios y variabilidad entre distritos sanitarios(Consejería de Salud y Consumo, Junta de Andalucía, 2023) Del Rio García, Valme; Márquez Calderón, Soledad; [Del Río García,V; Márquez Calderón,S] Consejería de Salud y Consumo, Junta de AndalucíaEste estudio pretende acercarse al impacto de la pandemia de COVID-19 en la mortalidad en Andalucía, analizando la evolución de la mortalidad en Andalucía entre el periodo prepandemia (trienio 2017-2019) y los dos primeros años de la pandemia de COVID-19 (2020-2021), tanto en la mortalidad total como por las principales causas y la mortalidad prematura. PublicationCentros sanitarios de Andalucía comprometidos contra la violencia de género: una visión tras tres años de andadura(Ediciones Rodio, 2023) Ruiz-Dominguez, Francisco; Ponce González, María del Carmen; Fernández Ruiz, Emilia; Ceballos Pozo, Manuel; Campos García, Teresa; [Ruiz-Dominguez,F; Ponce-González,MC; Campos-García,T] Servicio de Coordinación de Salud Pública. Dirección General de Salud Pública y Ordenación Farmacéutica. Secretaría General de Salud Pública e I+D+i. Consejería de Salud y Consumo - Junta de Andalucía, Sevilla. España. [Fernández-Ruiz,E] Oficina Técnica del Área de Evaluación de Políticas Públicas. Instituto Andaluz de Administración Pública. Junta de Andalucía, Sevilla. España. [Ceballos-Pozo,M] Agencia de Calidad Sanitaria de Andalucía. Junta de Andalucía, Sevilla. España.Dentro del contexto español de las medidas y recomendaciones del Pacto de Estado contra la violencia de género, la Dirección General de Salud Pública y Ordenación Farmacéutica de Andalucía inició, en 2020, una estrategia pionera de acreditación de Centros Sanitarios Comprometidos contra la Violencia de Género. Este proyecto de acreditación ofrece a todos los centros sanitarios de Andalucía la oportunidad de: evaluar el grado de implantación de sus actuaciones en el abordaje de la violencia de género, identificar buenas prácticas y establecer medidas de mejora. El objetivo final persigue que todos los centros sanitarios incorporen medidas de calidad para la adecuada sensibilización, detección e intervención de posibles casos de violencia de género. Este artículo describe el inicio y desarrollo de esta iniciativa e incluye resultados de la evaluación llevada a cabo por el Instituto Andaluz de Administración Pública tras los primeros tres años de actividad. Además, proporciona ideas y sugerencias para su desarrollo en los años sucesivos, así como para su posible replicación en otros contextos. PublicationMortalidad por tumores en el siglo XXI: diferencias entre Andalucía y España(Consejería de Salud y Consumo, Junta de Andalucía, 2023) Villalobos Herrera, Sofía; Márquez Calderón, Soledad; [Villalobos Herrera, S; Márquez Calderón, S] Consejería de Salud y Consumo, Junta de Andalucía. PublicationGramática de la prevención de adicciones: documento técnico para la prevención local de las adicciones(Consejería de Salud y Consumo, Junta de Andalucía, 2022) Ramírez de Arellano Espadero, Alfonso R.; [Ramírez de Arellano Espadero, AR] Diputación de Huelva.“Gramática de la prevención de adicciones” es un recorrido por las últimas décadas de prevención en nuestro país, una radiografía de su situación actual y un conjunto de propuestas de futuro. Está escrita desde la perspectiva pragmática de quien tiene que aplicar programas de prevención en el territorio contando con los ayuntamientos, los diversos sistemas profesionales que intervienen en la materia, los agentes sociales, los medios de comunicación y los agentes clave locales. Partiendo de un análisis crítico de la situación de la prevención y de los desafíos que tiene planteados, propone una serie alternativas locales que pueden impulsar su desarrollo en los próximos años. PublicationMonkeypox outbreak in a piercing and tattoo establishment in Spain.(2022-09-29) Del Río García, Valme; Palacios, Jesús García; Morcillo, Ana Monroy; Duran-Pla, Enric; Rodríguez, Berta Suárez; Lorusso, Nicola PublicationImpact of the first superspreading outbreak of COVID-19 related to a nightlife establishment in Andalusia, Spain.(2021-12-29) Delgado-Sánchez, S; Serrano-Ortiz, Á; Ruiz-Montero, R; Lorusso, N; Rumbao-Aguirre, J M; Salcedo-Leal, IA notable proportion of COVID outbreaks are generated by "super-spreading events", where a few subjects transmit the pathogen to many secondary cases, increasing contact networks and the spread of the pathogen. We conducted a description of a COVID-19 superspreading event in Córdoba during July 2020, linked to a nightlife establishment. Retrospective observational study describing characteristics of person, time, PCR result and contact network of confirmed cases. PCR results in Córdoba during July and August and information collected in surveillance systems were analyzed. 935 individuals associated with the outbreak were included; 120 (12.83%) became confirmed cases. July 17 was the day with the highest incidence, with 27 new cases (22.5% of the total). People under 25 years old represented 69.2% of the cases. The average number of close contacts per person was 10.7, with a decrease as age raised. During the outbreak, incidence increased at the provincial level compared to previous weeks; at the end, incidence did not return to initial values but remained high with a relevant percentage of cases having unknown epidemiological association. A greater transmission capacity of SARS-CoV-2 was observed in a closed, crowded space, and among young people that tended to report a greater number of social contacts and may present little or no symptoms. Developing preventive measures in scenarios that combine these factors and early detection of cases are essential to avoid an increase in the spread of the virus. PublicationMaternal and fetal risks of planned vaginal breech delivery vs planned caesarean section for term breech birth: A systematic review and meta-analysis.(2022-07-16) Fernández-Carrasco, Francisco J; Cristóbal-Cañadas, Delia; Gómez-Salgado, Juan; Vázquez-Lara, Juana M; Rodríguez-Díaz, Luciano; Parrón-Carreño, TesifónBreech presentation delivery approach is a controversial issue in obstetrics. How to cope with breech delivery (vaginal or C-section) has been discussed to find the safest in terms of morbidity. The aim of this study was to assess the risks of foetal and maternal mortality and perinatal morbidity associated with vaginal delivery against elective caesarean in breech presentations, as reported in observational studies. Studies assessing perinatal morbidity and mortality associated with breech presentations births. Cochrane, Medline, Scopus, Embase, Web of Science, and Cuiden databases were consulted. This protocol was registered in PROSPERO CRD42020197598. Selection criteria were: years between 2010 and 2020, in English language, and full-term gestation (37-42 weeks). The methodological quality of the eligible articles was assessed according to the Newcastle-Ottawa scale. Meta-analyses were performed to study each parameter related to neonatal mortality and maternal morbidity. The meta-analysis included 94 285 births with breech presentation. The relative risk of perinatal mortality was 5.48 (95% confidence interval (CI) = 2.61-11.51) times higher in the vaginal delivery group, 4.12 (95% CI = 2.46-6.89) for birth trauma and 3.33 (95% CI = 1.95-5.67) for Apgar results. Maternal morbidity showed a relative risk 0.30 (95% CI = 0.13-0.67) times higher in the planned caesarean group. An increment in the risk of perinatal mortality, birth trauma, and Apgar lower than 7 was identified in planned vaginal delivery. However, the risk of severe maternal morbidity because of complications of a planned caesarean was slightly higher. PublicationBody Image Dissatisfaction as a Risk Factor for Postpartum Depression.(2022-05-31) Riesco-González, Francisco Javier; Antúnez-Calvente, Irene; Vázquez-Lara, Juana María; Rodríguez-Díaz, Luciano; Palomo-Gómez, Rocío; Gómez-Salgado, Juan; García-Iglesias, Juan Jesús; Parrón-Carreño, Tesifón; Fernández-Carrasco, Francisco JavierBackground and Objectives: Pregnancy and postpartum are periods that imply numerous physical and psychological changes that could lead to mental health consequences. The aim of the present study is to identify whether women who had body image dissatisfaction had a higher incidence of postpartum depression 6 months after birth than women who did not have body image dissatisfaction. Materials and Methods: A descriptive cross-sectional study was designed with a sample of 450 women from two hospitals in Andalusia. Quantitative variables were age and scores on the Edinburgh Postnatal Depression Scale (EPDS) and the Body Shape Questionnaire (BSQ) for body image dissatisfaction. The qualitative variables used were marital status, self-perceived health status, diet or physical exercise, type of delivery, and others. Results: Body dissatisfaction was positively correlated with the symptomatology of postpartum depression. Thus, for each point increased in body dissatisfaction, the occurrence of depression also increased. There was a relationship between the study variables, so women who were more dissatisfied with their body image were more frequently depressed. Conclusions: In conclusion, it can be established that postpartum depression seems to be related to the presence of poor body image. PublicationValidation of an Automated Screening System for Diabetic Retinopathy Operating under Real Clinical Conditions.(2021-12-21) Jimenez-Carmona, Soledad; Alemany-Marquez, Pedro; Alvarez-Ramos, Pablo; Mayoral, Eduardo; Aguilar-Diosdado, ManuelRetinopathy is the most common microvascular complication of diabetes mellitus. It is the leading cause of blindness among working-aged people in developed countries. The use of telemedicine in the screening system has enabled the application of large-scale population-based programs for early retinopathy detection in diabetic patients. However, the need to support ophthalmologists with other trained personnel remains a barrier to broadening its implementation. Automatic diagnosis of diabetic retinopathy was carried out through the analysis of retinal photographs using the 2iRetinex software. We compared the categorical diagnoses of absence/presence of retinopathy issued by family physicians (PCP) with the same categories provided by the algorithm (ALG). The agreed diagnosis of three specialist ophthalmologists is used as the reference standard (OPH). There were 653 of 3520 patients diagnosed with diabetic retinopathy (DR). Diabetic retinopathy threatening to vision (STDR) was found in 82 patients (2.3%). Diagnostic sensitivity for STDR was 94% (ALG) and 95% (PCP). No patient with proliferating or severe DR was misdiagnosed in both strategies. The k-value of the agreement between the ALG and OPH was 0.5462, while between PCP and OPH was 0.5251 (p = 0.4291). The diagnostic capacity of 2iRetinex operating under normal clinical conditions is comparable to screening physicians. PublicationDecision-Tree-Based Approach for Pressure Ulcer Risk Assessment in Immobilized Patients.(2022-09-06) Vera-Salmerón, Eugenio; Domínguez-Nogueira, Carmen; Romero-Béjar, José L; Sáez, José A; Mota-Romero, EmilioApplications where data mining tools are used in the fields of medicine and nursing are becoming more and more frequent. Among them, decision trees have been applied to different health data, such as those associated with pressure ulcers. Pressure ulcers represent a health problem with a significant impact on the morbidity and mortality of immobilized patients and on the quality of life of affected people and their families. Nurses provide comprehensive care to immobilized patients. This fact results in an increased workload that can be a risk factor for the development of serious health problems. Healthcare work with evidence-based practice with an objective criterion for a nursing professional is an essential addition for the application of preventive measures. In this work, two ways for conducting a pressure ulcer risk assessment based on a decision tree approach are provided. The first way is based on the activity and mobility characteristics of the Braden scale, whilst the second way is based on the activity, mobility and skin moisture characteristics. The results provided in this study endow nursing professionals with a foundation in relation to the use of their experience and objective criteria for quick decision making regarding the risk of a patient to develop a pressure ulcer. PublicationCompetency Gradients in Advanced Practice Nurses, Specialist Nurses, and Registered Nurses: A Multicentre Cross-Sectional Study.(2022-07-09) Gutiérrez-Rodríguez, Laura; García-Mayor, Silvia; León-Campos, Álvaro; Gómez-González, Alberto José; Pérez-Ardanaz, Bibiana; Rodríguez-Gómez, Susana; Fajardo-Samper, Marta; Morilla-Herrera, Juan Carlos; Morales-Asencio, José Miguel(1) Background: Identifying differences in the competencies of different areas of nursing is a crucial aspect for determining the scope of practice. This would facilitate the creation of a formal structure for clinical practice in advanced and specialised services. The aims of this study are to analyse the distribution of advanced competencies in registered, specialist and advanced practice nurses in Spain, and to determine the level of complexity of the patients attended by these nurses. (2) Methods: A cross-sectional study was developed on registered, specialist and advanced practice nurses, all of whom completed an online survey on their perceived level of advanced competencies and their professional characteristics. (3) Results: In total, 1270 nurses completed the survey. Advanced practice nurses recorded the highest self-perceived level of competency, especially for the dimensions of evidence-based practice, autonomy, leadership and care management. (4) Conclusions: Among registered, specialist and advanced practice nurses, there are significant differences in the level of self-perceived competencies. Patients attended by advanced practice nurses presented the highest levels of complexity. Understanding these differences could facilitate the creation of a regulatory framework for clinical practice in advanced and specialized services. PublicationPressure Ulcers Risk Assessment According to Nursing Criteria.(2022-07-31) Vera-Salmerón, Eugenio; Mota-Romero, Emilio; Romero-Béjar, José Luis; Dominguez-Nogueira, Carmen; Gómez-Pozo, BasilioPressure ulcers (PU) represent a health problem with a significant impact on the morbidity and mortality of immobilized patients, and on the quality of life of affected people and their families. Risk assessment of pressure ulcers incidence must be carried out in a structured and comprehensive manner. The Braden Scale is the result of an analysis of risk factors that includes subscales that define exactly what should be interpreted in each one. The healthcare work with evidence-based practice with an objective criterion by the nursing professional is an essential addition for the application of preventive measures. Explanatory models based on the different subscales of Braden Scale purvey an estimation to level changes in the risk of suffering PU. A binary-response logistic regression model, supported by a study with an analytical, observational, longitudinal, and prospective design in the Granada-Metropolitan Primary Healthcare District (DSGM) in Andalusia (Southern Spain), with a sample of 16,215 immobilized status patients, using a Braden Scale log, is performed. A model that includes the mobility and activity scales achieves a correct classification rate of 86% (sensitivity (S) = 87.57%, specificity (SP) = 81.69%, positive predictive value (PPV) = 91.78%, and negative preventive value (NPV) = 73.78%), while if we add the skin moisture subscale to this model, the correct classification rate is 96% (S = 90.74%, SP = 88.83%, PPV = 95.00%, and NPV = 80.42%). The six subscales provide a model with a 99.5% correct classification rate (S = 99.93%, SP = 98.50%, PPV = 99.36%, and NPV = 99.83%). This analysis provides useful information to help predict this risk in this group of patients through objective nursing criteria. PublicationChanges in the Epidemiology of Diabetic Retinopathy in Spain: A Systematic Review and Meta-Analysis.(2022-07-16) Romero-Aroca, Pedro; López-Galvez, Maribel; Martinez-Brocca, Maria Asuncion; Pareja-Ríos, Alicia; Artola, Sara; Franch-Nadal, Josep; Fernandez-Ballart, Joan; Andonegui, José; Baget-Bernaldiz, MarcThe aim of the present study was to determine the prevalence and incidence of diabetic retinopathy (DR) and its changes in the last 20 years in type 2 diabetes mellitus (T2DM) patients in Spain. A systematic review with a meta-analysis was carried out on the studies published between 2001-2020 on the prevalence and incidence of DR and sight-threatening diabetic retinopathy (STDR) in Spain. The articles included were selected from four databases and publications of the Spanish Ministry of Health and Regional Health Care System (RHCS). The meta-analysis to determine heterogeneity and bias between studies was carried out with the MetaXL 4.0. Since 2001, we have observed an increase in the detection of patients with DM, and at the same time, screening programs for RD have been launched; thus, we can deduce that the increase in the detection of patients with DM, many of them in the initial phases, far exceeds the increased detection of patients with DR. The prevalence of DR was higher between 2001 and 2008 with values of 28.85%. These values decreased over the following period between 2009 and 2020 with a mean of 15.28%. Similarly the STDR prevalence decrease from 3.67% to 1.92% after 2008. The analysis of the longitudinal studies determined that the annual DR incidence was 3.83%, and the STDR annual incidence was 0.41%. In Spain, for T2DM, the current prevalence of DR is 15.28% and 1.92% forSTDR. The annual incidence of DR is 3.83% and is 0.41% for STDR. PublicationTemporal trends in hospitalizations due to diabetes complications during COVID-19 pandemic in Andalusia, Spain.(2022) Mayoral, Eduardo; Ravé, Reyes; Rodriguez de Vera, Pablo; Rojo-Martinez, Gemma; Olveira, Gabriel; Aguilar-Diosdado, Manuel; León-Justel, Antonio; Martinez-Brocca, Maria Asuncion PublicationOptical imaging spectroscopy for rapid, primary screening of SARS-CoV-2: a proof of concept.(2022-02-18) Gomez-Gonzalez, Emilio; Barriga-Rivera, Alejandro; Fernandez-Muñoz, Beatriz; Navas-Garcia, Jose Manuel; Fernandez-Lizaranzu, Isabel; Munoz-Gonzalez, Francisco Javier; Parrilla-Giraldez, Ruben; Requena-Lancharro, Desiree; Gil-Gamboa, Pedro; Rosell-Valle, Cristina; Gomez-Gonzalez, Carmen; Mayorga-Buiza, Maria Jose; Martin-Lopez, Maria; Muñoz, Olga; Gomez-Martin, Juan Carlos; Relimpio-Lopez, Maria Isabel; Aceituno-Castro, Jesus; Perales-Esteve, Manuel A; Puppo-Moreno, Antonio; Garcia-Cozar, Francisco Jose; Olvera-Collantes, Lucia; Gomez-Diaz, Raquel; de Los Santos-Trigo, Silvia; Huguet-Carrasco, Monserrat; Rey, Manuel; Gomez, Emilia; Sanchez-Pernaute, Rosario; Padillo-Ruiz, Javier; Marquez-Rivas, JavierEffective testing is essential to control the coronavirus disease 2019 (COVID-19) transmission. Here we report a-proof-of-concept study on hyperspectral image analysis in the visible and near-infrared range for primary screening at the point-of-care of SARS-CoV-2. We apply spectral feature descriptors, partial least square-discriminant analysis, and artificial intelligence to extract information from optical diffuse reflectance measurements from 5 µL fluid samples at pixel, droplet, and patient levels. We discern preparations of engineered lentiviral particles pseudotyped with the spike protein of the SARS-CoV-2 from those with the G protein of the vesicular stomatitis virus in saline solution and artificial saliva. We report a quantitative analysis of 72 samples of nasopharyngeal exudate in a range of SARS-CoV-2 viral loads, and a descriptive study of another 32 fresh human saliva samples. Sensitivity for classification of exudates was 100% with peak specificity of 87.5% for discernment from PCR-negative but symptomatic cases. Proposed technology is reagent-free, fast, and scalable, and could substantially reduce the number of molecular tests currently required for COVID-19 mass screening strategies even in resource-limited settings. PublicationNext-generation care pathways for allergic rhinitis and asthma multimorbidity: a model for multimorbid non-communicable diseases-Meeting Report (Part 2)(Ame publ co, 2019-09-01) Bousquet, Jean; Nhan Pham-Thi; Bedbrook, Anna; Agache, Ioana; Annesi-Maesano, Isabella; Ansotegui, Ignacio; Anto, Josep M.; Bachert, Claus; Benveniste, Samuel; Bewick, Mike; Billo, Nils; Bosnic-Anticevich, Sinthia; Bosse, Isabelle; Brusselle, Guy; Calderon, Moses A.; Canonica, G. Walter; Caraballo, Luis; Cardona, Victoria; Maria Carriazo, Ana; Cash, Eugene; Cecchi, Lorenzo; Chu, Derek K.; Colgan, Elaine; Costa, Elisio; Cruz, Alvaro A.; Czarlewski, Wienczyslawa; Durham, Stephen; Ebisawa, Motohiro; Erhola, Marina; Fauquert, Jean-Luc; Fokkens, Wytske J.; Fonseca, Joao A.; Guldemond, Nick; Iinuma, Tomohisa; Illario, Maddalena; Klimek, Ludger; Kuna, Piotr; Kvedariene, Violeta; Larenas-Linneman, Desiree; Laune, Daniel; Le, Lan T. T.; Lourenco, Olga; Malva, Joao O.; Marien, Gert; Menditto, Enrica; Mullol, Joaquim; Munter, Lars; Okamoto, Yoshitaka; Onorato, Gabrielle L.; Papadopoulos, Nikos G.; Perala, Maritta; Pfaar, Oliver; Phillips, Abigail; Phillips, Jim; Pinnock, Hilary; Portejoie, Fabienne; Quinones-Delgado, Pablo; Rolland, Christine; Rodts, Ulysse; Samolinski, Boleslaw; Sanchez-Borges, Mario; Schunemann, Holger J.; Shamji, Mohamed; Somekh, David; Togias, Alkis; Toppila-Salmi, Sanna; Tsiligianni, Ioanna; Usmani, Omar; Walker, Samantha; Wallace, Dana; Valiulis, Arunas; Van der Kleij, Rianne; Ventura, Maria Teresa; Williams, Sian; Yorgancioglu, Arzu; Zuberbier, Torsten; [Bousquet, Jean] Univ Hosp Montpellier, Montpellier, France; [Bousquet, Jean] Fdn Partenariale FMC VIA LR, MACVIA France, Montpellier, France; [Bedbrook, Anna] Fdn Partenariale FMC VIA LR, MACVIA France, Montpellier, France; [Onorato, Gabrielle L.] Fdn Partenariale FMC VIA LR, MACVIA France, Montpellier, France; [Portejoie, Fabienne] Fdn Partenariale FMC VIA LR, MACVIA France, Montpellier, France; [Bousquet, Jean] INSERM, Ageing & Chron Dis Epidemiol & Publ Hlth Approach, VIMA, U1168, Villejuif, France; [Bousquet, Jean] Univ Versailles St Quentin En Yvelines, UMR S 1168, Montigny Le Bretonneux, France; [Bousquet, Jean] Euforea, Brussels, Belgium; [Fokkens, Wytske J.] Euforea, Brussels, Belgium; [Marien, Gert] Euforea, Brussels, Belgium; [Bousquet, Jean] Humboldt Univ, Univ Med Berlin, Charite, Berlin, Germany; [Bousquet, Jean] Berlin Inst Hlth, Comprehens Allergy Ctr, Dept Dermatol & Allergy, Berlin, Germany; [Zuberbier, Torsten] Berlin Inst Hlth, Comprehens Allergy Ctr, Dept Dermatol & Allergy, Berlin, Germany; [Nhan Pham-Thi] Pasteur Inst, Allergy Dept, Paris, France; [Agache, Ioana] Transylvania Univ, Fac Med, Brasov, Romania; [Annesi-Maesano, Isabella] INSERM, Depet Inst Pierre Louis Epidemiol & Publ, Epidemiol Allerg & Resp Dis, Paris, France; [Annesi-Maesano, Isabella] Sorbonne Univ, Med Sch St Antoine, Paris, France; [Ansotegui, Ignacio] Hosp Quironsalud Bizkaia, Dept Allergy & Immunol, Erandio, Spain; [Anto, Josep M.] Ctr Res Environm Epidemiol CREAL, ISGlobAL, Barcelona, Spain; [Anto, Josep M.] Univ Pompeu Fabra, Barcelona, Spain; [Anto, Josep M.] CIBERESP, Barcelona, Spain; [Bachert, Claus] Ghent Univ Hosp, ENT Dept, Upper Airways Res Lab, Ghent, Belgium; [Benveniste, Samuel] Broca Hosp, Natl Ctr Expertise Cognit Stimulat CEN STIMCO, Paris, France; [Benveniste, Samuel] PSL Res Univ, Mines ParisTech CRI, Fontainebleau, France; [Bewick, Mike] iQ4U Consultants Ltd, London, England; [Bosnic-Anticevich, Sinthia] Univ Sydney, Woolcock Inst Med Res, Glebe, NSW, Australia; [Bosnic-Anticevich, Sinthia] Woolcock Emphysema Ctr, Glebe, NSW, Australia; [Bosnic-Anticevich, Sinthia] Sydney Local Hlth Dist, Glebe, NSW, Australia; [Brusselle, Guy] Ghent Univ Hosp, Dept Resp Med, Ghent, Belgium; [Calderon, Moses A.] Imperial Coll London, Natl Heart & Lung Inst, London, England; [Usmani, Omar] Imperial Coll London, Natl Heart & Lung Inst, London, England; [Canonica, G. Walter] IRCCS, Humanitas Clin & Res Ctr, Personalized Med Clin Asthma & Allergy, Rozzano, MI, Italy; [Canonica, G. Walter] Humanitas Univ, Dept Biomed Sci, Pieve Emanuele, MI, Italy; [Caraballo, Luis] Univ Cartagena, Inst Immunol Res, Campus Zaragocilla, Cartagena, Colombia; [Caraballo, Luis] Fdn Dev Med & Biol Sci Fundemeb, Cartagena, Colombia; [Cardona, Victoria] Hosp Valle De Hebron, Dept Internal Med, Allergy Sect, Barcelona, Spain; [Cardona, Victoria] ARADyAL Res Network, Barcelona, Spain; [Maria Carriazo, Ana] Reg Minist Hlth Andalusia, Seville, Spain; [Cash, Eugene] Nova Southeastern Univ, Coll Psychol, Ft Lauderdale, FL 33314 USA; [Cash, Eugene] Sch Related Psychol Assessments & Clin Intervent, Ft Lauderdale, FL USA; [Cecchi, Lorenzo] USL Toscana Ctr, SOS Allergol & Clin Immunol, Prato, Italy; [Schunemann, Holger J.] USL Toscana Ctr, SOS Allergol & Clin Immunol, Prato, Italy; [Chu, Derek K.] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Dept Med, Div Immunol & Allergy, Hamilton, ON, Canada; [Colgan, Elaine] Dept Hlth Social Serv & Publ Safety, Belfast, Antrim, North Ireland; [Costa, Elisio] Univ Porto, UCIBIO, Fac Pharm, REQUIMTE, Porto, Portugal; [Costa, Elisio] Univ Porto, AgeUPNetWork, Competence Ctr Act & Hlth Ageing, Porto, Portugal; [Cruz, Alvaro A.] Univ Fed Bahia, ProAR Nucleo Excelencia Asma, Salvador, BA, Brazil; [Cruz, Alvaro A.] WHO GARD Execut Comm, Salvador, BA, Brazil; [Czarlewski, Wienczyslawa] Med Consulting Czarlewski, Levallois Perret, France; [Durham, Stephen] Imperial Coll London, Natl Heart & Lung Inst, Allergy & Clin Immunol Sect, London, England; [Ebisawa, Motohiro] Natl Hosp Org, Sagamihara Natl Hosp, Clin Res Ctr Allergy & Rheumatol, Sagamihara, Kanagawa, Japan; [Erhola, Marina] Natl Inst Hlth & Welf, Helsinki, Finland; [Fauquert, Jean-Luc] CHU Clermont Ferrand, Hop Estaing, Pole Pediat, Unit Allergol Enfant, Clermont Ferrand, France; [Fokkens, Wytske J.] Amsterdam Univ Med Ctr, Dept Otorhinolaryngol, AMC, Amsterdam, Netherlands; [Fonseca, Joao A.] Univ Porto, Ctr Res Hlth Technol & Informat Syst, Fac Med, CINTESIS, Porto, Portugal; [Fonseca, Joao A.] Medida Lda, Porto, Portugal; [Guldemond, Nick] Erasmus Univ, Inst Hlth Policy & Management iBMG, Rotterdam, Netherlands; [Iinuma, Tomohisa] Chiba Univ Hosp, Dept Otorhinolaryngol, Chiba, Japan; [Okamoto, Yoshitaka] Chiba Univ Hosp, Dept Otorhinolaryngol, Chiba, Japan; [Illario, Maddalena] Campania Reg, Div Hlth Innovat, Naples, Italy; [Illario, Maddalena] Federico II Univ Hosp Naples, R&D, Naples, Italy; [Illario, Maddalena] Federico II Univ Hosp Naples, DISMET, Naples, Italy; [Klimek, Ludger] Ctr Rhinol & Allergol, Wiesbaden, Germany; [Kuna, Piotr] Med Univ Lodz, Barlicki Univ Hosp, Div Internal Med Asthma & Allergy, Lodz, Poland; [Kvedariene, Violeta] Vilnius Univ, Fac Med, Dept Pathol, Inst Biomed Sci, Vilnius, Lithuania; [Kvedariene, Violeta] Fac Med, Inst Clin Med, Clin Chest Dis & Allergol, Vilnius, Lithuania; [Larenas-Linneman, Desiree] Med Sur Clin Fdn & Hosp, Ctr Excellence Asthma & Allergy, Mexico City, DF, Mexico; [Laune, Daniel] KYomed INNOV, Montpellier, France; [Le, Lan T. T.] Univ Med & Pharm, Hochiminh City, Vietnam; [Lourenco, Olga] Univ Beira Interior, Fac Hlth Sci, Covilha, Portugal; [Lourenco, Olga] Univ Beira Interior, Hlth Sci Res Ctr, CICS UBI, Covilha, Portugal; [Malva, Joao O.] Univ Coimbra, Fac Med, Coimbra Inst Clin & Biomed Res iCBR, Coimbra, Portugal; [Malva, Joao O.] Ageing Coimbra EIP AHA Reference Site, Coimbra, Portugal; [Menditto, Enrica] Univ Naples Federico II, Ctr Pharmacoecon, CIRFF, Naples, Italy; [Mullol, Joaquim] Hosp Clin Barcelona, ENT Dept, Rhinol Unit, Barcelona, Spain; [Mullol, Joaquim] Hosp Clin Barcelona, ENT Dept, Smell Clin, Barcelona, Spain; [Mullol, Joaquim] Univ Barcelona, CIBERES, IDIBAPS, Clin & Expt Resp Immunoallergy, Barcelona, Spain; [Munter, Lars] Danish Comm Hlth Educ, Copenhagen East, Denmark; [Papadopoulos, Nikos G.] Univ Manchester, Royal Manchester Childrens Hosp, Div Infect Immun & Resp Med, Manchester, Lancs, England; [Papadopoulos, Nikos G.] Univ Athens, Athens Gen Childrens Hosp P&A Kyriakou, Allergy Dept, Pediat Clin 2, Athens, Greece; [Perala, Maritta] Univ Oulu, Fac Med, Oulu, Finland; [Pfaar, Oliver] Phillipps Univ Marburg, Univ Hosp Marburg, Sect Rhinol & Allergy, Dept Otorhinolaryngol Head & Neck Surg, Marburg, Germany; [Phillips, Abigail] Welsh Govt, Dept Hlth & Social Serv, Cardiff, S Glam, Wales; [Phillips, Jim] Ctr Empowering Patients & Communities, Dublin, Ireland; [Pinnock, Hilary] Univ Edinburgh, Asthma UK Ctr Appl Res, Usher Inst Populat Hlth Sci & Informat, Edinburgh, Midlothian, Scotland; [Quinones-Delgado, Pablo] Agcy Social Serv & Dependency, Reg Govt Equal Social Policies & Conciliat Andalu, Seville, Spain; [Rolland, Christine] Assoc Asthme & Allergie, Paris, France; [Rodts, Ulysse] KanopyMed, Paris, France; [Samolinski, Boleslaw] Med Univ Warsaw, Dept Prevent Environm Hazards & Allergol, Warsaw, Poland; [Sanchez-Borges, Mario] Ctr Medicodocente La Trinidad, Allergy & Clin Immunol Dept, Caracas, Venezuela; [Shamji, Mohamed] Imperial Coll London, Immunomodulat & Tolerance Grp, London, England; [Shamji, Mohamed] Imperial Coll London, Allergy & Clin Immunol, London, England; [Somekh, David] EHFF, Dromahair, Ireland; [Togias, Alkis] NIAID, DAIT, NIH, 9000 Rockville Pike, Bethesda, MD 20892 USA; [Toppila-Salmi, Sanna] Helsinki Univ Hosp, Skin & Allergy Hosp, Helsinki, Finland; [Toppila-Salmi, Sanna] Univ Helsinki, Helsinki, Finland; [Tsiligianni, Ioanna] Univ Crete, Fac Med, Dept Social Med, Hlth Planning Unit, Iraklion, Greece; [Tsiligianni, Ioanna] Int Primary Care Resp Grp, Aberdeen, Scotland; [Williams, Sian] Int Primary Care Resp Grp, Aberdeen, Scotland; [Usmani, Omar] Royal Brompton Hosp, Airways Dis Sect, London, England; [Walker, Samantha] Asthma UK, London, England; [Wallace, Dana] Nova Southeastern Univ, Ft Lauderdale, FL 33314 USA; [Valiulis, Arunas] Vilnius Univ, Inst Clin Med, Fac Med, Vilnius, Lithuania; [Valiulis, Arunas] Inst Hlth Sci, Vilnius, Lithuania; [Van der Kleij, Rianne] Leiden Univ, Dept Publ Hlth & Primary Care, Med Ctr, Leiden, Netherlands; [Ventura, Maria Teresa] Univ Bari, Unit Geriatr Immunoallergol, Med Sch, Bari, Italy; [Yorgancioglu, Arzu] Celal Bayar Univ, Fac Med, Dept Pulm Dis, Manisa, Turkey; [Zuberbier, Torsten] Univ Med Berlin, Berlin, Germany; [Zuberbier, Torsten] Free Univ Berlin, Berlin, Germany; [Zuberbier, Torsten] Humboldt Uniersitat Berlin, Berlin, Germany; [Zuberbier, Torsten] GA2LEN, Berlin, Germany; Mylan; GSK; ALK; Novartis; Sanofi; Stallergenes-Greer; Uriach PublicationFive-Year Eradication of Hepatitis B Infection after an Outreach Immunization Program in the Waorani Population in the Ecuadorian Amazon(Amer soc trop med & hygiene, 2016-09-01) Quizhpe, Edy; Nauta, Gladys; Antonio Cordoba-Dona, Juan; Teran, Enrique; [Quizhpe, Edy] Minist Salud Publ Ecuador, Quito, Ecuador; [Nauta, Gladys] Minist Salud Publ Ecuador, Quito, Ecuador; [Antonio Cordoba-Dona, Juan] Umea Univ, Dept Publ Hlth & Clin Med Epidemiol & Global Hlth, Umea, Sweden; [Antonio Cordoba-Dona, Juan] Consejeria Salud, Junta Andalucia, Cadiz, Spain; [Teran, Enrique] Univ San Francisco de Quito, Colegio Ciencias Salud, Diego de Robles S-N & Pampite, Quito, EcuadorIn Waorani communities of the Amazon basin of Ecuador, hepatitis B (HB) surface antigen was found in 14% of asymptomatic persons. The aim of this study was to identify the Waorani population in Ecuador and obtain an epidemiologically adequate coverage of vaccination against hepatitis B virus (HBV) among them. Between February and September 2010, three vaccination campaigns were completed as part of a collaborative activity between the Ecuadorian Ministry of Public Health and the community leaders in the intervention areas. In addition, in 10 of the 22 Waorani communities, during first contact, a questionnaire about risk factors for HBV infection was administered. A total of 16 Waorani communities were registered before the beginning of this intervention, but during the actual process, six additional communities were identified. In total, 1,251 community members were registered, 92.7% of which received all three doses of the vaccine. Among them, 83% of survey respondents reported having been vaccinated, but only 22% were able to show proof. Only 1% of respondents were intravenous drug users, whereas 22% had at least one tattoo. All self-identified as heterosexual, but only 32% reported using condoms during sexual intercourse. By March 2015, no new cases of HB were been reported in any of the Waorani communities. Herein, we report the importance of intersectoral collaboration to strengthen health interventions in an isolated population like the Waorani area. PublicationABOUT EROTIC CAPITAL AS CULTURAL CAPITAL(Consejo superior investigaciones cientificas-csic, 2016-01-01) Moreno Pestana, Jose Luis; Bruquetas Callejo, Carlos; [Moreno Pestana, Jose Luis] Univ Cadiz, Filosofia, Cadiz, Spain; [Bruquetas Callejo, Carlos] Consejeria Salud Junta Andalucia, Cadiz, SpainSocial theory is trying, increasingly, to reach an agreement on the body place. Particularlly, the Catherine Hakim's thesis about erotic capital has brought to the foreground the value of the body within contemporary social hierarchies. The Hakim's questions are connected with another set of conceptualizations that try to understand the value of the physical interaction in our societies. The first aim of this article is to discuss the model proposed by Hakim on the light of the explanatory capacity of Pierre Bourdieu's cultural capital theory. As a second goal we wish, enlightened by a set of empirical data, to confirm if it is possible to note down links between body care, social class, age class and gender. PublicationReal-Time Monitoring in Home-Based Cardiac Rehabilitation Using Wrist-Worn Heart Rate Devices(Mdpi, 2017-12-01) Medina Quero, Javier; Fernandez Olmo, Maria Rosa; Pelaez Aguilera, Maria Dolores; Espinilla Estevez, Macarena; [Medina Quero, Javier] Univ Jaen, Dept Comp Sci, Campus Las Lagunillas, Jaen 23071, Spain; [Espinilla Estevez, Macarena] Univ Jaen, Dept Comp Sci, Campus Las Lagunillas, Jaen 23071, Spain; [Fernandez Olmo, Maria Rosa] Hosp Complex Jaen, Heart Rehabil Unit, Av Ejercito Espanol 10, Jaen 23007, Spain; [Pelaez Aguilera, Maria Dolores] Andalucian Hlth Serv, Council Hlth, Av Constituc 18, Seville 41071, Spain; Council of Health for the Andalucian Health Service, Spain from the Spanish governmentCardiac rehabilitation is a key program which significantly reduces the mortality in at-risk patients with ischemic heart disease; however, there is a lack of accessibility to these programs in health centers. To resolve this issue, home-based programs for cardiac rehabilitation have arisen as a potential solution. In this work, we present an approach based on a new generation of wrist-worn devices which have improved the quality of heart rate sensors and applications. Real-time monitoring of rehabilitation sessions based on high-quality clinical guidelines is embedded in a wearable application. For this, a fuzzy temporal linguistic approach models the clinical protocol. An evaluation based on cases is developed by a cardiac rehabilitation team.