SAS - D.S.A.P. Córdoba

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An integrative review of the implementation of public health guidelines.
(2022-07-16) Cassetti, Viola; Victoria López-Ruiz, María; Pola-Garcia, Marina; García, Ana M; Josep Paredes-Carbonell, Joan; Angel Pérula-De Torres, Luis; Belén Benedé-Azagra, Carmen; EvaluAGPS Research Group
Health guidelines are important tools to ensure that health practices are evidence-based. However, research on how these guidelines are implemented is scarce. This integrative review aimed to: identify the literature on evaluation of public health guidelines implementation to explore (a) the topics which public health guidelines being implemented and evaluated in their implementation process are targeting; (b) how public health guidelines are being translated into action and the potential barriers and facilitators to their implementation; and (c) which methods are being used to evaluate their implementation. A total of 2001 articles published since 2000 and related to both clinical and public health guidelines implementation was identified through searching four databases (PubMed, CINAHL, Web of Science, Scopus). After screening titles and abstracts, only 10 papers related to public health guidelines implementation, and after accessing full-text, 8 were included in the narrative synthesis. Data were extracted on: topic and context, implementation process, barriers and facilitators, and evaluation methods used, and were then synthesised in a narrative form using a thematic synthesis approach. Most of these studies focussed on individual behaviours and targeted specific settings. The evaluation of implementation processes included qualitative, quantitative and mixed-methods. The few articles retrieved suggest that evidence is still limited and highly context specific, and further research on translating public health guidelines into practice is needed.
Effectiveness of a multicomponent intervention to reduce social isolation and loneliness in community-dwelling elders: A randomized clinical trial.
(2022-06-24) Hernández-Ascanio, José; Perula-de Torres, Luis Ángel; Rich-Ruiz, Manuel; González-Santos, Josefa; Mielgo-Ayuso, Juan; González-Bernal, Jerónimo; ASyS Study Collaborative Group
To assess the effect of a multicomponent intervention on reducing social isolation and loneliness and improving the quality of life in community-dwelling older adults. A cluster-randomized controlled clinical trial. A total of 56 older adults participated in the control group and 63 older adults in the experimental group. The intervention consisted of 6 home-based face-to-face sessions, intercalated with 5 telephone calls and was conducted by nursing students and volunteer staff with experience in the subject. The study was conducted between April 2018 and December 2019. In terms of statistical analysis, several procedures were carried out: a statistical analysis per protocol and intention to treat, considering isolation, loneliness and quality of life as endpoints; a comparison of paired means, to analyse the behaviour of the outcome variables at baseline and the end of the study; and finally, a binary logistic regression analysis, considering social support as a dependent variable. The study results do not show the effectiveness of the modified CARELINK programme, analysed as a whole, on the decrease in social isolation or loneliness or the improvement in HRQL. However, a detailed analysis of the behaviour of some of the variables during the study indicates some results that deserve to be commented on. Comparing the mean confidential support scores between the experimental and control group at the initial and final stages shows significant differences in the analysis by protocol, and close to statistical significance in the analysis by intention to treat. Comparing the paired means obtained in the experimental group, an improvement in emotional loneliness scores was found. Finally, the variables associated with the social support of the subjects at the end of the follow-up period were as follows: having people who help them and mobility. Although the results obtained do not allow us to affirm that the intervention programme is effective, these same results point to improved confidential support and emotional loneliness in older adults participating in the intervention. Having people to help them and a greater degree of mobility are factors favouring the decrease in social isolation. This study suggested that modified CARELINK, a multicomponent intervention performed by trained volunteers, could improve confidential support in community-dwelling older adults. It also reports the importance of considering the level of mobility and support networks as determinants of the improvement caused by the intervention.
A Mediterranean-Diet-Based Nutritional Intervention for Children with Prediabetes in a Rural Town: A Pilot Randomized Controlled Trial.
(2022-09-01) Blancas-Sánchez, Isabel María; Del Rosal Jurado, María; Aparicio-Martínez, Pilar; Quintana Navarro, Gracia; Vaquero-Abellan, Manuel; Castro Jiménez, Rafael A; Fonseca Pozo, Francisco Javier
Prediabetes is a pathological condition in which the blood glucose concentration is higher than normal concentrations but lower than those considered necessary for a type 2 diabetes mellitus diagnosis. Various authors have indicated that the Mediterranean Diet is one of the dietary patterns with the most healthy outcomes, reducing high levels of HbA1c, triglycerides, BMI, and other anthropometric parameters. The main objective of this study was to determine the efficacy of the nutritional intervention for children with prediabetes, including the effectiveness of this nutritional education regarding anthropometric parameters. A randomized pilot trial with two groups, an experimental group (EG) and a control group (CG), using intervention in dietary habits with nutritional reinforcement was carried out on 29 children with prediabetes from a rural area. The nutritional intervention was analyzed through astrophotometric and glycemic measurements and validated surveys. Results: The results indicated improvement in eating habits, adherence to the Mediterranean diet, anthropometric measurements, mainly body mass index and perimeters, and analytical parameters, with a significant decrease in glycated hemoglobin in the EG compared to the CG (p
The Assessment of Myocardial Longitudinal Strain in a Paediatric Spanish Population Using a New Software Analysis.
(2022-06-08) Aristizábal-Duque, Cristhian H; Fernández Cabeza, Juan; Blancas Sánchez, Isabel María; Delgado Ortega, Mónica; Aparicio Martinez, Pilar; Romero-Saldaña, Manuel; Fonseca Del Pozo, Francisco Javier; Pan, Manuel; Ruiz Ortiz, Martin; Mesa-Rubio, María Dolores
Two-dimensional speckle-tracking echocardiography (2DSTE) has been present for years. However, it is underutilized due to the expertise and time requirements for its analysis. Our aims were to provide strain values in a paediatric Spanish population and to assess the feasibility and reproducibility of a new strain software analysis in our environment. A cross-sectional study of 156 healthy children aged 6 to 17 years. Longitudinal strain (LS) analysis of the left ventricle, right ventricle, and left atrium was performed. Feasibility and reproducibility were assessed. The associations of clinical and echocardiographic variables with strain values were investigated by multivariate analysis. Mean age was 11 ± 3 years (50% female). Feasibility of LS measurement ranged from 94.2% for left ventricle global LS (LVGLS) to 98.1% for other chamber strain parameters. Strain values were 26.7 ± 2.3% for LVGLS; 30.5 ± 4.4% and 26.9 ± 4% for right ventricle free wall LS (RVFWLS) and four chambers view LS (RV4CLS) respectively; and 57.8 ± 10.5%, 44.9 ± 9.5%, and 12.9 ± 5.5% for left atrium LS reservoir phase (LALSr), conduct phase (LALScd) and contraction phase (LALSct), also respectively. Body surface area (BSA) and age presented a negative correlation with strain values. Higher values were found in females than in males, except for LALScd. Excellent intra- and inter-observer reproducibility were found for right and left ventricular strain measurement, with intraclass correlation coefficients (ICC) ranging from 0.88 to 0.98, respectively. In conclusion, we described strain values in a healthy Spanish paediatric population. LS assessment by this new strain analysis software by semi-automatic manner was highly feasible and reproducible.
Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) for Shoulder Mobility Improvement in Women with Upper Limb Lymphedema Secondary to Breast Cancer: A Multicenter Controlled Clinical Trial.
(2022-04-16) Muñoz-Alcaraz, María Nieves; Jiménez-Vílchez, Antonio José; Santamaría-Peláez, Mirian; Pérula-de Torres, Luis A; Olmo-Carmona, María Victoria; Muñoz-García, María Teresa; Jorge-Gutiérrez, Presentación; Serrano-Merino, Jesús; Romero-Rodríguez, Esperanza; Rodríguez-Elena, Lorena; Refusta-Ainaga, Raquel; Lahoz-Sánchez, María Pilar; Miró-Palacios, Belén; Medrano-Cid, Mayra; Magallón-Botaya, Rosa; Mínguez-Mínguez, Luis A; González-Santos, Josefa; González-Bernal, Jerónimo J
Lymphedema, secondary to breast cancer (BCRL), is the abnormal accumulation of protein-rich fluid in the interstitium caused by a malfunction of the lymphatic system. It causes swelling, deficiencies in upper limb functions and structures, sensory pain and emotional alterations, which have a chronic course and affect the upper limb's functionality. This study aims to verify the efficacy and efficiency in the upper limb´s functionality of a protocolized experimental approach based on occupational therapy, TAPA (activity-oriented proprioceptive antiedema therapy), in the rehabilitation of BCRL in stages I and II, comparing it with the conservative treatment considered as the standard, complex decongestive therapy (CDT), through a multicenter randomized clinical trial. a randomized and prospective clinical trial was conducted with experimental and control groups. Women diagnosed with BCRL belonging to institutions in Córdoba and Aragon (Spain) participated. Sociodemographic variables and those related to the functionality of the affected upper limb were evaluated before and after the intervention. The results showed statistically significant differences in the analysis of covariance performed for the variable joint balance of the shoulder´s external rotation (p = 0.045) that could be attributed to the intervention performed; however, the effect size was minimal (η2 ≤ 0.080). In the rest of the variables, no significant differences were found. TAPA may be an alternative to the conservative treatment of women with BCRL. It was shown to be just as effective for volume reduction and activity performance as CDT but more effective in improving external rotation in shoulder joint balance.
Impact of Activity-Oriented Propioceptive Antiedema Therapy on the Health-Related Quality of Life of Women with Upper-Limb Lymphedema Secondary to Breast Cancer-A Randomized Clinical Trial.
(2022-03-28) Muñoz-Alcaraz, María Nieves; Pérula-de Torres, Luis A; Jiménez-Vílchez, Antonio José; Rodríguez-Fernández, Paula; Olmo-Carmona, María Victoria; Muñoz-García, María Teresa; Jorge-Gutiérrez, Presentación; Serrano-Merino, Jesús; Romero-Rodríguez, Esperanza; Rodríguez-Elena, Lorena; Refusta-Ainaga, Raquel; Lahoz-Sánchez, María Pilar; Miró-Palacios, Belén; Medrano-Cid, Mayra; Magallón-Botaya, Rosa; Santamaría-Peláez, Mirian; Mínguez-Mínguez, Luis A; González-Bernal, Jerónimo J
Alterations derived from lymphedema in the upper-limb secondary to breast cancer-related lymphedema (BCRL) decrease the health-related quality of life (HRQoL), but there is limited evidence of the impact of the different interventions on it. The aim of this research was to compare the effect of conventional treatment with another treatment based on Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) on HRQoL in women diagnosed with BCRL. A prospective clinical study was designed with two parallel arms. The study population consisted of women diagnosed with BCRL in stage I and II, belonging to different institutions in Córdoba and Aragon, Spain. Sociodemographic and HRQoL-related variables, pain, tightness, heaviness and functionality were obtained before and after treatments. 51 women participated in the study, 25 received the conventional treatment and 26 the TAPA, with a mean age of 59.24 ± 9.55 years. HRQoL was significantly related to upper-limb function and pain on the participants' affected side. In addition, covariance analysis (ANCOVA) showed that the TAPA treatment interfered less in the performance of activities of daily life and produced significant improvements in the social dimension of HRQoL. the non-use of compressive elements in the rehabilitative treatment of the BCRL that is proposed with TAPA improves aspects such as self-image and participation in social and recreational activities.
Superiority of a Novel Multifunctional Amorphous Hydrogel Containing Olea europaea Leaf Extract (EHO-85) for the Treatment of Skin Ulcers: A Randomized, Active-Controlled Clinical Trial.
(2022-02-25) Verdú-Soriano, José; de Cristino-Espinar, Marisol; Luna-Morales, Silvia; Dios-Guerra, Caridad; Caballero-Villarraso, Javier; Moreno-Moreno, Paloma; Casado-Díaz, Antonio; Berenguer-Pérez, Miriam; Guler-Caamaño, Ipek; Laosa-Zafra, Olga; Rodríguez-Mañas, Leocadio; Lázaro-Martínez, José Luis
This 8-week, multicenter, randomized, active-controlled, observer-blinded clinical trial was designed to demonstrate the accelerating effect on wound healing of the novel Olea europaea leaf extract hydrogel (EHO-85) by comparing it to a widely used amorphous hydrogel. Results showed that EHO-85 significantly accelerated wound healing, regardless of ulcer etiology (pressure, venous leg or diabetic foot) and prognosis, doubling the median wound area reduction compared with a reference amorphous hydrogel (79.4% vs. 39.7%; difference: −39.7%, 95% CI: −71.1 to −21.3%; p
Clinical Presentation of the SARS-CoV-2 Virus Infection and Predictive Validity of the PCR Test in Primary Health Care Worker Patients of the Spanish National Health System.
(2022-01-04) Romero-Rodríguez, Esperanza; Pérula-de Torres, Luis A; González-Lama, Jesús; Jiménez-García, Celia; Castro-Jiménez, Rafael A; González-Bernal, Jerónimo J; Rodríguez-Fernández, Paula; Mielgo-Ayuso, Juan; Santamaría-Peláez, Mirian; González-Santos, Josefa
Despite the impact that the SARS-CoV-2 virus infection has presented in Spain, data on the diagnostic capacity of the symptoms associated with this infection are limited, especially among patients with mild symptoms and who are detected in the primary care field (PC). The objective of the present study was to know the associated symptoms and their predictive criterial validity in SARS-CoV-2 infection among professionals working in PC. A cross-sectional, multicenter study was carried out in the Spanish National Health System, through an epidemiological survey directed to patients who underwent the PCR test for SARS-CoV-2 in the PC setting. A total of 1612 patients participated, of which 86.6% were PC healthcare professionals, and of these, 67.4% family doctors. Hyposmia, with a sensitivity of 42.69% (95% CI: 37.30-48.08) and a specificity of 95.91% (95% CI: 94.78-97.03), and ageusia with a sensitivity of 39.47% (34.15-44.80) and a specificity of 95.20% (93.98-96.41) were the symptoms with the highest criteria validity indexes. This study identifies the specific symptoms of loss of smell or taste as the most frequently associated with SARS-CoV-2 infection, essential in the detection of COVID-19 given its high frequency and predictive capacity.
Retinal and Choroidal Effects of Continuous Positive Airway Pressure as Treatment for Sleep Apnea: Results at 12 Months.
(2022-10-03) Naranjo-Bonilla, Pedro; Giménez-Gómez, Rafael; Muñoz-Villanueva, María Del Carmen; Jurado-Gámez, Bernabé
To determine the impacts of continuous positive airway pressure (CPAP) treatment on retinal and choroidal thickness measurement in individuals with obstructive sleep apnea (OSA). Participants were 28 patients with OSA treated with CPAP who were enrolled immediately after diagnosis and graded according to the apnea hypopnea index (AHI) determined in an overnight polysomnography. Inclusion criteria were a new diagnosis of OSA and an indication for CPAP. Participants underwent a full ophthalmologic examination including standard automated perimetry (SAP) and optical coherence tomography (OCT) at the levels peripapillary, macular, and choroidal before CPAP onset, and after three and twelve months of CPAP. The data compared before and after treatment were intraocular pressure, SAP, and the thicknesses peripapillary retinal nerve fiber layer (pRNFL), total retinal (TR), retinal ganglion cell layer (RGCL), inner plexiform layer (IPL), photoreceptor layer (PL), and choroidal. After 3 months of CPAP, we observed thickening of the pRNFL (in 5/6 subfields) (p 12 months of CPAP avoids retinal thinning and normalizes choroidal thickness in OSA patients.
Conditions for Feasibility of a Multicomponent Intervention to Reduce Social Isolation and Loneliness in Noninstitutionalized Older Adults.
(2022-06-14) Hernández-Ascanio, Jose; Ventura-Puertos, Pedro Emilio; Rich-Ruiz, Manuel; Cantón-Habas, Vanesa; Roldán-Villalobos, Ana María; Pérula-de Torres, Luis Ángel
To identify the factors conditioning the feasibility of an intervention to reduce social isolation and loneliness in noninstitutionalized older adults from the perspective of the intervention agents. A Dimensional Grounded Theory study conducted from December 2019 to January 2020. Twelve participants were recruited from an experimental study developed in a health district of a southern Spanish city. Data were collected through focus group meetings, individual interviews, biograms, anecdote notebooks, and the field diaries of two participants not included in the other techniques. Transcripts were analyzed using thematic analysis. Findings were divided into three themes: (a) the elderly between the walls of loneliness, economic difficulties, losses, and the past; (b) intervention agents/volunteers between the walls of inexperience in the management of psychological/emotional processes, lack of moral authority, and difficulty in planning results adapted to the (elderly) person; and (c) intervention between the walls of (interest in) company and assistance at home, lack of involvement ("waiting for you to save them"), and withdrawal/"abandonment". A profile of the specialized intervention agent, professionalized (or at least a mentored agent), with both technical and relational competencies; a clear understanding of the purposes of the intervention (empowerment, as opposed to having company or being helped with household chores) and the commitment to active participation by the elder; or adequate management of the completion of the intervention (flexibility, attachment management) are some of the main factors contributing to the feasibility of these approaches. The findings have potential implications in the field of primary healthcare because primary and community healthcare services can implement corrections to the proposed intervention and ensure its effectiveness under feasible conditions. The nurse is shown as the most appropriate profile to conduct this intervention, although more research is needed to analyze the feasibility of this type of intervention in the daily practice of community nurses.
Identification of genes associated with environmental persistence in Campylobacter jejuni and Campylobacter coli isolates from processing in a broiler abattoir.
(2022-09-12) Carbonero, A; Maldonado-Iniesta, A; Trujillo, Y; Perea, J; Riofrío, M; Garcia-Bocanegra, I; Borge, C
The aim of this study was to determine the prevalence of the htrA, htrB and ppk1 genes -all of which are related to environmental persistence- in C. jejuni and C. coli isolates obtained from abattoir samples at the arrival of broilers (initial stage) and in meat products after processing (final stage). A total of 119 DNA extracts (55 C. jejuni and 64 C. coli) were included in the study. Identification of genes was performed by conventional PCR (one for each gene). The overall prevalence was 40.3%, 93.3% and 68.9% for the htrA, htrB and ppk1 genes, respectively. Statistically significant differences were found (p
The usefulness of the Spanish version of the STOP-Bang questionnaire for screening for moderate or severe sleep apnea syndrome in primary care.
(2022-09-09) Muñoz-Gómez, Rafaela; Navarrete-Martínez, Esther; Serrano-Merino, Jesús; Silva-Gil, Fátima; Roldán-Villalobos, Ana; Martín-Rioboó, Enrique; Ruiz-Moruno, Javier; Romero-Rodríguez, Esperanza; Gonzalez-Lama, Jesus; Vaquero-Abellán, Manuel; Perula-de-Torres, Luis Angel
Sleep apnea-hypopnea syndrome (OSA) is a highly prevalent disease and has been related to cardiovascular diseases and occupational and traffic accidents. Currently, it is estimated that there is a significant underdiagnosis of OSA, mainly due to the difficulty accessing the tests for that purpose. To determine the usefulness of the Spanish version of the STOP-Bang questionnaire (SBQ) for screening for moderate or severe OSA in the adult population attending primary care. A descriptive observational multicenter study was conducted. Through an opportunistic search, (patients over 18 years old), were recruited in seven primary care centers. The SBQ was applied to them and home respiratory polygraphy (HRP) was subsequently performed to confirm the diagnosis of OSA. The criterion validity of the SBQ was analyzed, comparing the score obtained by the SBQ with the apnea-hypopnea index (AHI) obtained by RP, establishing the diagnosis of OSA for an AHI>5. The reliability of the questionnaire was evaluated. A total of 255 subjects, 54.1% men, with a mean age of 54.76 ± 10 years, were recruited in the study. The results showed that 61.57% (95% Confidence Interval: 55.57-67.57) of the subjects presented OSA, presenting 22.75% (17.57-57.92) a mild OSA (530) (11.54-20.62). The Kuder and Richardson coefficient was 0.623 (0.335-0.788) and Cohen's Kappa coefficient was 0.871 (0.520-1.00; p 15) the SBQ obtained an ROC curve of 0.769 (0.704-0.833) that with an optimal cutoff of 3, achieved a sensitivity of 84.85% (77.28-92.42) and a specificity of 55.10% (44.74-65.46). The SBQ is very effective for detecting moderate/severe OSA. Its psychometric properties are similar to those obtained in studies on other populations. Because of its ease of use, the SBQ is a very useful tool for primary health care professionals.
Effectiveness of a group intervention using pain neuroscience education and exercise in women with fibromyalgia: a pragmatic controlled study in primary care.
(2022-04-04) Areso-Bóveda, Paula B; Mambrillas-Varela, Julia; García-Gómez, Bárbara; Moscosio-Cuevas, José Ignacio; González-Lama, Jesús; Arnaiz-Rodríguez, Eva; Del Barco, María Begoña Arroyo; Teodoro-Blanco, Pilar San
Very positive effects have been described in the application of pain neuroscience education (PNE) to chronic pain and migraine. However, there are few data on the applicability of this therapeutic approach in actual clinical practice in a primary care (PC) setting. The aim of this study was to explore the efficacy in fibromyalgia (FM) of an intervention based on PNE and exercise compared to treatment as usual (TAU). Pragmatic nonrandomised controlled trial set in 5 healthcare centres and one physiotherapy centre in PC. Fifty-three women with FM (2010 American College of Rheumatology Diagnostic Criteria for Fibromyalgia) were studied, 35 in the intervention group (IG) and 18 in the control group (CG). The women in the IG were interviewed individually and then received 6 weekly sessions plus one review session (1 month later): those in the CG received their TAU. The subject assignation to the CG or the IG was determined according to their availability to attend the sessions. They all filled in several questionnaires (prior to and 1 year after the intervention) to evaluate the impact of FM in their daily lives, catastrophism, anxiety and depression, severity and impact of pain in daily personal performance and functional capacity. The reductions (improvements) in the scores of all tests (baseline-final) were greater in the IG (p An intervention based on PNE and exercise in patients with FM is feasible and seems effective in PC. The study was retrospectively registered at ClinicalTrials.gov (Trial Registration NCT04539171 ), on 04/09/2020.
Relationship between overweight and obesity and cardiac dimensions and function in a paediatric population.
(2022-01-25) Cabeza, Juan Fernández; Aristizábal-Duque, Cristhian H; Sánchez, Isabel María Blancas; Ortiz, Martín Ruíz; Almodóvar, Ana Rodríguez; Ortega, Mónica Delgado; Martínez, Fátima Esteban; Saldaña, Manuel Romero; Del Pozo, Francisco Javier Fonseca; Álvarez-Ossorio, Manuel Pan; Rubio, María Dolores Mesa
Obesity in adults is associated with left ventricular hypertrophy, dilatation, and myocardial fibrosis, as well as heart failure and coronary heart disease. These associations have been studied to a lesser extent in the paediatric population. This study aims to investigate the relationship between obesity and cardiac structure and function in the paediatric population. In a southern Spanish village, we selected all inhabitants aged 6-17 years stratifying by age, gender, and educational centres. We performed a complete transthoracic echocardiogram evaluating all the cardiac morphological and functional parameters commonly measured in an echocardiographic study. There were 212 children and adolescents included. Of them, 48.1% were males. The mean age was 10.9 ± 3.0 years. A total of 106 (50%) were normal weight, 57 (26.9%) overweight, and 49 (23.1%) obese. Sex and age were similar in all three groups. Overweight and obesity were associated with larger left ventricular end-diastolic and end-systolic volumes (p Childhood obesity is independently associated with larger heart chambers, greater left ventricle mass, and smaller left ventricle ejection fraction. • Childhood obesity is related to the development of cardiovascular risk factors and is considered an epidemic of the twenty-first century; its prevalence is rising. • Childhood overweight and obesity lead to changes in cardiac structure and function which, although not considered clinically pathological, are significant and a result of obesity, and which behave as unfavourable incipient alterations at an early age.
Effects of a program of dance therapy on body composition and quality of life of Spanish older overweight women
(Aran ediciones, s l, 2016-11-01) Serrano-Guzman, Maria; Valenza-Pena, Carmen M.; Serrano-Guzman, Carmen; Aguilar-Ferrandiz, Encarnacion; Olmedo-Alguacil, Milagrosa; Villaverde-Gutierrez, Carmen; [Serrano-Guzman, Maria] Univ Granada, Fac Ciencias Salud, Dept Fisioterapia, Granada, Spain; [Valenza-Pena, Carmen M.] Univ Granada, Fac Ciencias Salud, Dept Fisioterapia, Granada, Spain; [Aguilar-Ferrandiz, Encarnacion] Univ Granada, Fac Ciencias Salud, Dept Fisioterapia, Granada, Spain; [Serrano-Guzman, Carmen] Med Familiar & Comunitaria, Cordoba, Spain; [Aguilar-Ferrandiz, Encarnacion] Univ Granada, Inst Invest Biosanitaria, Granada, Spain; [Villaverde-Gutierrez, Carmen] Univ Granada, Inst Invest Biosanitaria, Granada, Spain; [Olmedo-Alguacil, Milagrosa] Univ Granada, Fac Ciencias Salud, Dept Enfermeria, Granada, Spain; [Villaverde-Gutierrez, Carmen] Univ Granada, Fac Ciencias Salud, Dept Fisiol, Granada, Spain
Objective: This study aimed to test the effectiveness of a dance therapy program on body composition and quality of life in women over 65, who do not perform physical exercise regularly.Methods: Fifty-two sedentary older women (mean age 69.27 +/- 3.85 years) were randomly assigned to receive either dance therapy (n = 27) or part of the control group (n = 25). The intervention group participated in eight weeks of dance therapy, three sessions weekly/50 min, based on Spanish folk dance and ballet. Both groups receive information about the importance of nutrition and physical activity at the beginning and middle of the study. The waist circumference, blood pressure, body mass index and quality of life were assessed at baseline and after treatment in both groups. Statistical analysis was performed using a 2 x 2 ANOVA.Results: Women in the intervention group showed significant reduction in waist circumference (p = 0,001) compared to those in the control group. Changes in BMI and quality of life although they improved in the dance group did not reach statistical significance.Conclusion: The Spanish dance therapy is an effective form of exercise to reduce visceral fat and prevent comorbidities in older women, helping to change unhealthy life styles.
Influence of clinical and psychological variables upon the oral health-related quality of life in patients with temporomandibular disorders
(Medicina oral s l, 2017-11-01) Blanco-Aguilera, Antonio; Blanco-Aguilera, Elena; Serrano-del-Rosal, Rafael; Biedma-Velazquez, Lourdes; Rodriguez-Torronteras, Alejandro; Segura-Saint-Gerons, Rafael; Blanco-Hungria, Antonio; [Blanco-Aguilera, Antonio] Univ Cordoba, Dept Med, Maimonides Inst Biomed Res Cordoba, Cordoba, Spain; [Blanco-Hungria, Antonio] Univ Cordoba, Dept Med, Maimonides Inst Biomed Res Cordoba, Cordoba, Spain; [Blanco-Aguilera, Elena] Univ Santiago de Compostela, Oral Med Surg & Implantol, Santiago, Spain; [Serrano-del-Rosal, Rafael] Spanish Natl Res Council IESA CSIC, Inst Adv Social Studies, Madrid, Spain; [Biedma-Velazquez, Lourdes] Spanish Natl Res Council IESA CSIC, Inst Adv Social Studies, Madrid, Spain; [Rodriguez-Torronteras, Alejandro] Andalusian Healthcare Serv, Andalucia, Spain; [Segura-Saint-Gerons, Rafael] Univ Cordoba, Dept Med & Surg Specialties, Cordoba, Spain
Background: To analyze the association between the OHIP-14 and the different subtypes making up the clinical and psychological axis obtained using the RDC/TMD.Material and Methods: 407 patients treated at the TMD unit of the Andalusian Healthcare Service were administered the Spanish version of the Research Diagnostic Criteria for Temporomandibular Disorders questionnaire (RDC/TMD), together with the Oral Health Impact Profile questionnaire (OHIP-14). The degree of association between the patients' score in the OHIP-14 and the clinical and biopsychosocial variables was analyzed through bivariate and multivariate analyses, specifically through linear regression.Results: 89.4% of the treated patients were women, while 10.6% were men, with an average age of 42.08 +/- 14.9 years. The mean score and standard deviation for the OHIP-14 was 20.57 +/- 10.73. A significant association (p
Impact of CPAP therapy on health-related quality of life in elderly patients with apnoea-hypopnea syndrome: a systematic review of randomised clinical trials
(European respiratory soc journals ltd, 2017-01-01) Serrano Merino, Jesus; Perula de Torres, Luis A.; Munoz Gomez, Rafaela; Roldan Villalobos, Ana; Feu Collado, M. Nuria; Ruiz-Moral, Roger; Jurado-Gamez, Bernabe; Collaborative Grp CVCPAP Study; [Serrano Merino, Jesus] Univ Hosp Reina Sofia, Resp Dept, Sleep Unit, Cordoba, Spain; [Feu Collado, M. Nuria] Univ Hosp Reina Sofia, Resp Dept, Sleep Unit, Cordoba, Spain; [Jurado-Gamez, Bernabe] Univ Hosp Reina Sofia, Resp Dept, Sleep Unit, Cordoba, Spain; [Serrano Merino, Jesus] Univ Cordoba, Hosp Univ Reina Sofia, IMIBIC, Cordoba, Spain; [Perula de Torres, Luis A.] Univ Cordoba, Hosp Univ Reina Sofia, IMIBIC, Cordoba, Spain; [Roldan Villalobos, Ana] Univ Cordoba, Hosp Univ Reina Sofia, IMIBIC, Cordoba, Spain; [Ruiz-Moral, Roger] Univ Cordoba, Hosp Univ Reina Sofia, IMIBIC, Cordoba, Spain; [Jurado-Gamez, Bernabe] Univ Cordoba, Hosp Univ Reina Sofia, IMIBIC, Cordoba, Spain; [Perula de Torres, Luis A.] Hlth Dist Cordoba & Guadalquivir, Unidad Docente Med Familiar & Comunitaria, Cordoba, Spain; [Roldan Villalobos, Ana] Hlth Dist Cordoba & Guadalquivir, Unidad Docente Med Familiar & Comunitaria, Cordoba, Spain; [Munoz Gomez, Rafaela] Hlth Dist Cordoba & Guadalquivir, UGC Sect Sur, Cordoba, Spain; [Ruiz-Moral, Roger] Univ Francisco Vitoria, Fac Med, Madrid, Spain; [Jurado-Gamez, Bernabe] Univ Cordoba, Fac Med, Cordoba, Spain; Public Andalusian Foundation of Process and Health
Measuring the quality of motivational interviewing in primary health care encounters: The development and validation of the motivational interviewing assessment scale (MIAS)
(Taylor & francis ltd, 2016-01-01) Campinez Navarro, Manuel; Perula de Torres, Luis Angel; Bosch Fontcuberta, Josep M.; Barragan Brun, Nieves; Arbonies Ortiz, Juan Carlos; Novo Rodriguez, Jesus Manuel; Boveda Fontan, Julia; Martin Alvarez, Remedios; Prados Castillejo, Jose Antonio; Rivas Doutreleau, Gabriela Renee; Domingo Pena, Carmen; Castro Moreno, Jaime Jesus; Romero Rodriguez, Esperanza Maria; [Campinez Navarro, Manuel] CAP Vallcarca, Barcelona, Spain; [Barragan Brun, Nieves] CAP Vallcarca, Barcelona, Spain; [Martin Alvarez, Remedios] CAP Vallcarca, Barcelona, Spain; [Perula de Torres, Luis Angel] Univ Cordoba, Hosp Univ Reina Sofia, Unidad Docente Med Familiar & Comunitaria Cordoba, Dist Sanitario Cordoba & Guadalquivir,IMIBIC, Avda Menendez Pidal S-N, Cordoba, Spain; [Bosch Fontcuberta, Josep M.] Inst Catala Salut, Area Basica Salud Encants Maragall, Barcelona, Spain; [Arbonies Ortiz, Juan Carlos] Ctr Salud Beraun Errenteria, Donostia San Sebastian, Spain; [Novo Rodriguez, Jesus Manuel] Ctr Saude A Milagrosa, Lugo, Spain; [Boveda Fontan, Julia] EAP Colmeiro, Vigo, Spain; [Prados Castillejo, Jose Antonio] Ctr Salud Lucano, Serv Andaluz Salud, Cordoba, Spain; [Rivas Doutreleau, Gabriela Renee] Univ Basque Country, San Sebastian, Spain; [Domingo Pena, Carmen] Univ Basque Country, San Sebastian, Spain; [Castro Moreno, Jaime Jesus] UGC La Carlota, Serv Andaluz Salud, Cordoba, Spain; [Romero Rodriguez, Esperanza Maria] UGC Occidente, Serv Andaluz Salud, Cordoba, Spain; Spanish Society of Family Physicians (semFYC); Health Council of the Andalusian Government
Background: Motivational interviewing (MI) is a collaborative, goal-oriented method to help patients change behaviour. Tools that are often used to measure MI are the motivational interviewing skills code' (MISC), the motivational interviewing treatment integrity' (MITI) and the behaviour change counselling index' (BECCI). The first two instruments have not been designed to be used in primary healthcare (PHC) settings. The BECCI actually is time-consuming. The motivational interviewing assessment scale (MIAS, 'EVEM' in Spanish) was developed to measure MI in PHC encounters as an alternative to the previous instruments.Objectives: To validate MIAS as an instrument to assess the quality of MI in PHC settings.Methods: (a) Development: Sixteen experts in MI participated in the design, face and consensus validity, using a Delphi-type methodology. (b) Validation: Setting: 27 PHC centres located in Spain. Subjects: four experts in MI tested its psychometric properties with 332 video recordings coming from the Dislip-EM study (consultations provided by 37 practitioners). Measurements: dimensionality, internal consistency, reliability (intra-class correlation coefficient-ICC), sensitivity to change and convergent validity with the BECCI scale.Results: A 14-item scale was obtained after the validation process. Factor analysis: two factors explained 76.6% of the total variance. Internal consistency, alpha=0.99. Reliability: intra-rater ICC=0.96; inter-rater ICC=0.97. Sensitivity to change: means before and after training were 23.63 versus 38.57 (P
Primary Care Supplement - PAPPS Update 2018 (vol 50, 2018)
(Ediciones doyma s a, 2018-12-01) Brotons Cuixart, Carlos; Aleman Sanchez, Jose Juan; Banegas Banegas, Jose Ramon; Fondon Leon, Carlos; Maria Lobos-Bejarano, Jose; Martin Rioboo, Enrique; Navarro Perez, Jorge; Orozco-Beltran, Domingo; Villar Alvarez, Fernando; [Brotons Cuixart, Carlos] Equipo Atenc Primaria Sardenya, Med Familiar & Comunitaria, Barcelona, Spain; [Aleman Sanchez, Jose Juan] Serv Canario Salud, Direcc Gen Salud Publ, Med Familiar & Comunitaria, Las Palmas Gran Canaria, Spain; [Banegas Banegas, Jose Ramon] Univ Autonoma Madrid, Fac Med, Med Prevent & Salud Publ, Madrid, Spain; [Fondon Leon, Carlos] Ctr Salud Colmenar Oreja, Med Familiar & Comunitaria, Madrid, Spain; [Maria Lobos-Bejarano, Jose] Ctr Salud Jazmin, Med Familiar & Comunitaria, Madrid, Spain; [Martin Rioboo, Enrique] Ctr Salud Fuensanta, Med Familiar & Comunitaria, Cordoba, Spain; [Navarro Perez, Jorge] Hosp Clin Univ, Med Familiar & Comunitaria, Valencia, Spain; [Orozco-Beltran, Domingo] Dept San Juan Alicante, Unidad Invest CS Cabo Huertas, Med Familiar & Comunitaria, Alicante, Spain; [Villar Alvarez, Fernando] Escuela Nacl Sanidad, Med Prevent & Salud Publ, Madrid, Spain
Acceptability of the opportunistic search for human immunodeficiency virus infection by serology in patients recruited in Primary Care Centres in Spain
(Ediciones doyma s a, 2016-06-01) Puentes Torres, Rafael Carlos; Aguado Taberne, Cristina; Perula de Torres, Luis Angel; Espejo Espejo, Jose; Castro Fernandez, Cristina; Fransi Galiana, Luis; [Puentes Torres, Rafael Carlos] Ctr Salud Frolunda, Narhalsan, Gotemburgo, Sweden; [Aguado Taberne, Cristina] Ctr Salud Santa Rosa Cordoba, Cordoba, Spain; [Espejo Espejo, Jose] Ctr Salud Santa Rosa Cordoba, Cordoba, Spain; [Castro Fernandez, Cristina] Ctr Salud Santa Rosa Cordoba, Cordoba, Spain; [Aguado Taberne, Cristina] Univ Cordoba, Hosp Univ Reina Sofia, Inst Maimonides Invest Biomed Cordoba IMIBIC, Cordoba, Spain; [Perula de Torres, Luis Angel] Univ Cordoba, Hosp Univ Reina Sofia, Inst Maimonides Invest Biomed Cordoba IMIBIC, Cordoba, Spain; [Espejo Espejo, Jose] Univ Cordoba, Hosp Univ Reina Sofia, Inst Maimonides Invest Biomed Cordoba IMIBIC, Cordoba, Spain; [Castro Fernandez, Cristina] Univ Cordoba, Hosp Univ Reina Sofia, Inst Maimonides Invest Biomed Cordoba IMIBIC, Cordoba, Spain; [Perula de Torres, Luis Angel] Dist Sanitario Cordoba & Guadalquivir, Unidad Docente Med Familiar & Comunitaria, Cordoba, Spain; [Fransi Galiana, Luis] Ctr Salud Monteporreiro, SERGAS, Pontevedra, Spain
Objective: To assess the acceptability of opportunistic search for human immunodeficiency virus (HIV).Design: Cross-sectional, observational study.Location: Primary Care Centres (PCC) of the Spanish National Health Care System.Participants: patients aged 18 to 65 years who had never been tested for HIV, and were having a blood test for other reasons.Recorded variables: age, gender, stable partner, educational level, tobacco/alcohol use, reason for blood testing, acceptability of taking the HIV test, reasons for refusing to take the HIV test, and reasons for not having taken an HIV test previously. A descriptive, bivariate, multivariate (logistic regression) statistical analysis was performed.Results: A total of 208 general practitioners (GPs) from 150 health care centres recruited 3,314 patients. Most (93.1%) of patients agreed to take the HIV test (95% CI: 92.2-93.9). Of these patients, 56.9% reported never having had an HIV test before because they considered not to be at risk of infection, whereas 34.8% reported never having been tested for HIV because their doctor had never offered it to them. Of the 6.9% who refused to take the HIV test, 73.9% considered that they were not at risk. According to the logistic regression analysis, acceptability was positively associated to age (higher among between 26 and 35 year olds, OR= 1.79; 95% CI: 1.10-2.91) and non-smokers (OR = 1.39; 95% CI: 1.01-1.93). Those living in towns with between 10,000 and 50,000 inhabitants showed less acceptance to the test (OR= 0.57; 95% CI: 0.40-0.80). The HIV prevalence detected was 0.24%Conclusions: Acceptability of HIV testing is very high among patients having a blood test in primary care settings in Spain. Opportunistic search is cost-effective. (c) 2015 Elsevier Espana, S.L.U.

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