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Hoy — Mayo 14th 2024Tus fuentes RSS

Factores asociados a la sobrecarga del cuidador en cuidadores primarios de personas adultas mayores con diabetes tipo2 [Gratuito]

Ricardo Alejandro Sánchez Bárcenas, Daniel López Hernández, Leticia Brito-Aranda, Brenda Berenice García Mantilla, María del Rocío Thompson Bonilla, Ernestina Pavón Delgado, Luis Beltrán Lagunes, Roberto Durán Rojo, Emmanuel Melgarejo-Estefan, Tania Castillo-Cruz, Tabata Gabriela Anguiano Velázquez, Arisbel Orozco-Valencia
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Uso de la realidad virtual inmersiva como método de relajación en el entorno de una unidad de cuidados intensivos

L. Martí-Hereu, G. Navarra-Ventura, A.M. Navas-Pérez, S. Férnandez-Gonzalo, F. Pérez-López, C. de Haro-López, G. Gomà-Fernández
Enferm Intensiva. 2024;35:107-13

Resumen - Texto completo - PDF

Intervenciones no farmacológicas para reducir el uso de contenciones mecánicas en las unidades de críticos

G. Via-Clavero, M. Acevedo Nuevo, D. Gil-Castillejos, J.J. Rodríguez Mondéjar, D. Alonso Crespo
Enferm Intensiva. 2024;35:e8-e16

Resumen - Texto completo - PDF

Strengthening primary health care in Europe with digital solutions

Jordi Piera-Jiménez, Toni Dedeu, Claudia Pagliari, Tatjana Trupec
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Analysis of Madrid Primary Health-Care staff for the implementation of exercise prescription

Sergio Calonge-Pascual, Miguel-Ángel Gómez, Susana Belmonte-Cortés, José Antonio Casajús Mallén, Marcela González-Gross
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Efectividad de los sistemas de retorno de sangre en pacientes de cuidados intensivos: una revisión de alcance

M. Raurell-Torredà, S. Arias-Rivera, M.E. Rodríguez-Delgado, C. Campos-Asensio, R.J. Fernández-Castillo
Enferm Intensiva. 2024;35:133-45

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Validez predictiva de la escala de fragilidad Clinical Frailty Scale-España sobre el incremento de la dependencia tras el alta hospitalaria

S. Arias-Rivera, M.M. Sánchez-Sánchez, E. Romero de-San-Pío, Y. Gabriel Santana-Padilla, M. Juncos-Gozalo, G. Via-Clavero, M.N. Moro-Tejedor, M. Raurell-Torredà, C. Andreu-Vázquez
Enferm Intensiva. 2024;35:79-88

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Adecuación de las escalas conductuales en la monitorización del dolor en el paciente crítico incapaz de autoinformar

G. Robleda-Font, C. López-López, I. Latorre-Marco, J. Pozas-Peña, D. Alonso-Crespo, O. Vallés-Fructuoso, A. Castanera-Duro
Enferm Intensiva. 2024;35:e17-e22

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NO TODOS LOS PACIENTES FRÁGILES SON ANCIANOS

Federico Gordo-Vidal
Enferm Intensiva. 2024;35:77-8

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Predictores cognitivos y toma de decisiones en la experiencia de los síntomas del síndrome coronario

Carlos Yecid Bernal-Cárdenas, Viviana Marycel Céspedes-Cuevas, Jennifer Rojas-Reyes
Enferm Intensiva. 2024;35:124-32

Resumen - Texto completo - PDF

Association between non-registration of chronic kidney disease and mortality and cardiovascular outcome: a time-to-event analysis of retrospective primary care data

Por: Van den Wyngaert · I. · Mamouris · P. · Ali · E. A. · Vaes · B. · Van Pottelbergh · G.
Objective

Patients with impaired kidney function and increased albuminuria are at risk of developing cardiovascular disease (CVD). Previous research has revealed that a substantial proportion of patients with chronic kidney disease (CKD) do not get a registered diagnosis in the electronic health record of the general practitioner. The aim of this study was to investigate the association between non-registration of CKD and all-cause mortality and cardiovascular outcome.

Design and setting

A retrospective study in primary care.

Methods

The analyses were carried out in the INTEGO database, a general practice-based morbidity registration network in Flanders, Belgium. The study used INTEGO data from the year 2018 for all patients ≥18 years old, including 10 551 patients. To assess the risk of mortality and CVD, a time-to-event analysis was performed. Cox proportional hazard model was used to evaluate the association between non-registration and incidence of all-cause mortality and cardiovascular events with mortality as a competing risk. Subgroup analyses were performed for estimated glomerular filtration rate stages (3A, 3B, 4 and 5). Multiple imputation was done following the methodology of Mamouris et al.

Results

Mortality was higher in patients with non-registered CKD compared with patients with registered CKD (HR 1.29, 95% CI 1.19 to 1.41). Non-registration of CKD was not associated with an increased risk for the development of CVD (HR 0.92, 95% CI 0.77 to 1.11).

Conclusion

An association between non-registration and all-cause mortality was identified, although no such association was apparent for CVD.

Exploring community participation in vectorborne disease control in Southeast Asia: a scoping review protocol

Por: Naserrudin · N. A. · Adhikari · B. · Culleton · R. · Hod · R. · Saffree Jeffree · M. · Ahmed · K. · Hassan · M. R.
Introduction

Vector borne diseases (VBDs) present significant public health challenges in Southeast Asia (SEA), and the increasing number of cases threatens vulnerable communities. Inadequate vector control and management have been linked to the spread of VBDs. To address these issues, community participation has been proposed as a promising approach to enhance health programmes and control of VBDs. This article outlines a protocol for a scoping review of the published literature on community-participation approaches to control VBDs in the SEA region. The primary research question is ‘How does community participation complement the control of VBDs in SEA?’ This review aims to provide an overview of various approaches and identify barriers and facilitators to effective implementation.

Methods and analysis

The research questions will guide the scoping review. In stage 1, peer-reviewed publications from PubMed, Web of Science and Scopus will be searched using predefined search terms related to community-based approaches and VBDs in the SEA region, English, Indonesian and Malay published between 2012 and 2022. In stage 2, the references from relevant articles will be screened for eligibility. In stage 3, eligible articles will be charted in Microsoft Excel to facilitate the review process, and studies will be characterised based on the investigated diseases; this review will also highlight the methodological context of these studies. In stage 4, a thematic analysis will be conducted to derive meaningful findings from the dataset relevant to the research inquiry, followed by writing the results in stage 5. This scoping review aims to be the first to explore community participation in VBD control in the SEA population, providing valuable insights for future research and stakeholders involved in disease control.

Ethics and dissemination

This scoping review does not require ethical approval because the methodology synthesises information from available articles. This review is planned for dissemination in academic journals, conference presentations and shared with stakeholders as part of knowledge sharing among those involved in VBD control.

Utilising a 'Community of Practice to support pharmacists to work in residential aged care: protocol for a longitudinal evaluation

Por: Lee · K. · Etherton-Beer · C. · Johnson · J. · Lobo · E. · Wang · K. · Ailabouni · N. · Mavaddat · N. · Clifford · R. M. · Page · A. T.
Introduction

A Community of Practice is briefly defined as a group of people with a shared interest in a given area of practice who work collaboratively to grow collective knowledge. Communities of Practice have been used to facilitate knowledge exchange and improve evidence-based practice. Knowledge translation within the residential aged care sector is lacking, with barriers such as inadequate staffing and knowledge gaps commonly cited. In Australia, a Federal inquiry into residential aged care practices led to a recommendation to embed pharmacists within residential aged care facilities. Onsite practice in aged care is a new role for pharmacists in Australia. Thus, support is needed to enable pharmacists to practice in this role.

The primary aim is to evaluate the processes and outcomes of a Community of Practice designed to support pharmacists to work in aged care.

Methods and analysis

A longitudinal, single-group, pretest–post-test design in which the intervention is a Community of Practice. The Community of Practice will be established and made available for 3 years to all Australian pharmacists interested in, new to or established in aged care roles. The Community of Practice will be hosted on online discussion platforms, with additional virtual meetings and annual symposia. The following data will be collected from all members of the Community of Practice: self-evaluation of the processes and outcomes of the Community of Practice (via the CoPeval scale) and confidence in evidence-based practice (EPIC scale), collected via online questionnaires annually; and discussion platform usage statistics and discussion transcripts. A subset of members will be invited to participate in annual semi-structured individual interviews.

Data from the online questionnaire will be analysed descriptively. Discussion transcripts will be analysed using topic modelling and content analysis to identify the common topics discussed and their frequencies. Qualitative data from individual interviews will be thematically analysed to explore perceptions and experiences with the intervention for information/knowledge exchange, impact on practice, and sharing/promoting/implementing evidence-based practice.

Ethics and dissemination

Human ethics approval has been granted by the University of Western Australia’s Human Ethics Committee (2023/ET000000). No personal information will be included in any publications and reports to funding bodies.

Findings will be disseminated to all members of the Community of Practice, professional organisations, social and mass media, peer-review journals, research and professional conferences and annual reports to the funding body.

Impact evaluation of a cash-plus programme for children with disabilities in the Xiengkhouang Province in Lao PDR: study protocol for a non-randomised controlled trial

Por: Banks · L. M. · Soukkhaphone · B. · Scherer · N. · Siengsounthone · L. · Carew · M. T. · Shakespeare · T. · Chen · S. · Davey · C. · Goyal · D. · Zinke-Allmang · A. · Kuper · H. · Chanthakoumane · K.
Introduction

More than 170 countries have implemented disability-targeted social protection programmes, although few have been rigorously evaluated. Consequently, a non-randomised controlled trial is being conducted of a pilot ‘cash-plus’ programme implemented by UNICEF Laos and the Laos government for children with disabilities in the Xiengkhouang Province in Laos. The intervention combines a regular cash transfer with provision of assistive devices and access for caregivers to a family support programme.

Methods and analysis

The non-randomised controlled trial will involve 350 children with disabilities across 3 districts identified by programme implementers as eligible for the programme (intervention arm). Implementers have also identified approximately 180 children with disabilities in neighbouring districts, who would otherwise meet eligibility criteria but do not live in the project areas (control arm). The trial will assess the impact of the programme on child well-being (primary outcome), as well as household poverty, caregiver quality of life and time use (secondary outcomes). Baseline data are being collected May–October 2023, with endline 24 months later. Analysis will be intention to treat. A complementary process evaluation will explore the implementation, acceptability of the programme, challenges and enablers to its delivery and mechanisms of impact.

Ethics and dissemination

The study has received ethical approval from the London School of Hygiene and Tropical Medicine and the National Ethics Committee for Health Research in Laos. Informed consent and assent will be taken by trained data collectors. Data will be collected and stored on a secure, encrypted server and its use will follow a detailed data management plan. Findings will be disseminated in academic journals and in short briefs for policy and programmatic actors, and in online and in-person events.

Trial registration number

ISRCTN80603476.

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