Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access

(1) Objective. We aimed to demonstrate that the use of the ultrasound-guided technique facilitates peripheral venous cannulation as compared to the standard technique in patients with difficult access at emergency services. (2) Method. A case–control study, randomized research. Variables were collected from a population with non-palpable or not visible veins, classified into size risk groups for 6 months. In the comparative analysis, the patients were divided into two groups: the cases group was composed of patients to whom the peripheral venous cannulation was performed with the ultrasound-guided technique (UST), while the control was composed of patients with whom the standard technique (ST) was performed. The ultrasound LOGIQ P5 750VA from General Electric Healthcare, with an 11 mHz linear probe, was utilized, along with peripheral venous catheters model Insyte™ Autoguard™ with gauges of 14G to 26G. (3) Results. Seventy-two cases. The use of the ultrasound decreased the time (618.34s ST, 126s UST) and the number of punctures (2.92 ST, 1.23 UST); about 25% of the patients did not have complications with the UST, as compared to 8% with the ST. The use of the ultrasound decreased the pain experienced by 1.44 points in the visual analog scale, as compared to 0.11 points with the ST. The rate of success of the first try with the UST was 76%, as compared to 16% of the ST. The gauge of the catheter increased with the UST, with successful cannulations obtained with 20G (56%) and 18G (41%) gauges. (4) Conclusions. The use of ultrasound facilitates venous cannulation according to the variables of the study. The ultrasound visualization of the vessels is associated with the selection of the catheter gauge. There was no relation between the complications and the depth of the blood vessels.Enfermerí

Antithrombotic Therapy in Elderly Patients with Acute Coronary Syndromes

The treatment of acute coronary syndrome (ACS) in elderly patients continues to be a challenge because of the characteS.G.B.ristics of this population and the lack of data and specific recommendations. This review summarizes the current evidence about critical points of oral antithrombotic therapy in elderly patients. To this end, we discuss the peculiarities and differences reported referring to dual antiplatelet therapy (DAPT) in ACS management in elderly patients and what might be the best option considering these population characteristics. Furthermore, we analyze antithrombotic strategies in patients with atrial fibrillation (AF), with a particular focus on those cases that also present coronary artery disease (CAD). It is imperative to deepen our knowledge regarding the management of these challenging patients through real-world data and specifically designed geriatric studies to help resolve the questions remaining in their disease management

Estudio bibliométrico de las publicaciones españolas sobre fibrilación auricular (2004-2015)

[ES]: En esta tesis se planteó como objetivo principal el estudio de la producción científica española en fibrilación auricular, durante el periodo 2004-2015. Para ello, el estudio de la investigación se realizó haciendo uso de la bibliometría, a través del análisis de los trabajos publicados sobre este tema en las principales revistas científicas internacionales, y que fueron realizados por investigadores que trabajaban en instituciones españolas. Se examinaron 2.061 documentos publicados en las bases de datos multidisciplinares Science Citation Index (SCI) y Journal Citation Report (JCR), a través de la plataforma Web of Science, la base de datos especializada Medline y el SJR (Scimago Journal and Country Ranks) durante el periodo 2004-2015. Se estudiaron los indicadores de productividad científica, colaboración e impacto de los autores, instituciones, países y revistas, analizándose el ámbito temático delas mismas. Se observó un aumento progresivo en la publicación de documentos, especialmente a partir del año 2012. Estados Unidos fue el país de edición de las revistas más destacado, el Hospital Clínic Universitari de Barcelona fue la institución más productiva. La mayoría de documentos se publicaron en revistas relacionadas con el área cardiovascular. El inglés fue el idioma mayoritario en el que fueron escritos los trabajos de este estudio. El 96,71% de los trabajos fueron realizados en colaboración. Con respecto al número de citas destacó la Harvard University, siguiéndole una institución española como fue el Hospital Clínic Universitari de Barcelona.[EN]: In this thesis the main objective was the study of Spanish scientific production in atrial fibrillation during the period 2004-2015. For this, the study of research was carried out using bibliometrics, through the analysis of the works published on this subject in the main international scientific journals, and which were carried out by researchers who worked in Spanish institutions. We examined 2,061 papers published in the multidisciplinary databases Science Citation Index (SCI) and Journal Citation Report (JCR), through the Web of Science platform, the specialized Medline database and the SJR (Scimago Journal and Country Ranks) During the period 2004-2015. The indicators of scientific productivity, collaboration and impact of authors, institutions, countries and journals were analyzed, analyzing the thematic scope of the same. There was a progressive increase in the publication of documents, especially from 2012. The United States was the country of most outstanding edition of the journals, Hospital Clínic Universitari de Barcelona was the most productive institution. Most papers were published in journals related to the cardiovascular area. English was the majority language in which the work of this study was written. 96.71% of the work was done in collaboration. Regarding the number of appointments highlighted Harvard University, followed by a Spanish institution such as Hospital Clínic Universitari in Barcelona.Peer Reviewe

Una aproximación a las desigualdades sociales desde los trabajos fin de grado en educación social, pedagogía y psicología en la Universitat de València

Sin financiaciónSPI 2018UE

Enfermería y Género

Sin financiaciónSPI 2018UE

Visibilidad de las revistas de enfermería en los Journal Citation Reports y Emerging Source Citation Index

INTRODUCCIÓN. Este trabajo analiza la situación de las revistas de enfermería incluidas actualmente en las bases de datos Journal Citation Reports y Emerging Source Citation Index de la Web of Science de la edición del año 2018. MÉTODO. La muestra la conformaron 178 revistas de enfermería que son editadas por 23 países. Del total de revistas de enfermería analizadas, 122 están incluidas en la categoría Nursing en los Journal Citation Reports y 56, en la categoría Nursing en la base de datos Emerging Source Citation Index. RESULTADOS. Se observa que a lo largo de los últimos quince años el número de revistas de enfermería ha aumentado notablemente en las bases de datos de la Web of Science. Solamente 7 países (Australia, Corea del Sur, Escocia, Estados Unidos, Holanda, Inglaterra y Suiza) tienen revistas de enfermería situadas en posiciones de privilegio (cuartiles 1 y 2) en los Journal Citation Reports. Estados Unidos e Inglaterra son los países que tienen un mayor número de revistas de enfermería en las bases de datos Journal Citation Reports y Emerging Source Citation Index. España, con 4 revistas, es el país que destaca, tras Estados Unidos e Inglaterra, por ser el que tiene un mayor número de revistas de enfermería en la base de datos Emerging Source Citation Index, lo que contribuirá no solamente a aumentar la visibilidad de estas publicaciones en el ámbito mundial, sino también a dar una mayor difusión de la producción científica española en enfermería entre la comunidad científica nacional e internacional.Sin financiaciónNo data 2020UE

Stigma towards Mental Disorders among Nursing Students and Professionals: A Bibliometric Analysis

Stigma is one of the main barriers to prevention, treatment and recovery from mental illness. However, bibliometric studies in this area are still scarce. Therefore, our aim was to quantify and analyze the scientific literature on the stigma of nursing students and professionals towards mental disorders. To this purpose, bibliometric indicators of scientific production, impact and collaboration were used. Among our results, it stands out that only 14.3% of the total number of studies analyzed measure the efficacy of the interventions carried out to reduce stigma. Furthermore, with exceptions such as Happell B and Byrne L, collaborations between authors and institutions are limited. “Service user involvement” appeared as a prominent keyword in 2018, coinciding with the increase in publications on the effectiveness of interventions. Interventions based on the involvement of people with psychiatric diagnoses in the design of nursing curricula seem to become a promising line of research. More studies measuring the efficacy of such interventions are needed. Knowledge of the lines of research that are being developed and of the researchers and institutions involved can contribute to creating synergy between the different researchers and to continue adding projects to the existing ones, thus contributing to the generation of more robust results that show the most indicated interventions to reduce the still present stigma and improve care for people with psychiatric diagnoses.Sin financiación3.390 JCR (2020) Q1, 42/176 Public, Environmental & Occupational Health0.814 SJR (2021) Q1, 34/136 Health, Toxicology and MutagenesisNo data IDR 2020UE

¿Cómo puedo diagnosticar una Amiloidosis Cardíaca?

Sin financiaciónNo data SPI 2018UE

Escape (class) room: incorporación de la gamificación en las aulas universitarias

El uso de nuevas metodologías en las aulas universitarias se ha convertido en un reto para los docentes. La gamificación, entendida como un conjunto de técnicas aplicadas para el aprendizaje a través del juego en entornos no lúdicos. Esta nueva metodología se considera una estrategia para aplicar, desarrollar y reforzar conocimientos adquiridos previamente en el aula, trabajando diversas competencias en el alumnado. Se diseñó un escape room para trabajar los conceptos adquiridos durante el curso y posteriormente, se realizó una encuesta para medir el grado de satisfacción en el alumnado.SIN FINANCIACIÓNNo data 2019UE

Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access

(1) Objective. We aimed to demonstrate that the use of the ultrasound-guided technique facilitates peripheral venous cannulation as compared to the standard technique in patients with difficult access at emergency services. (2) Method. A case–control study, randomized research. Variables were collected from a population with non-palpable or not visible veins, classified into size risk groups for 6 months. In the comparative analysis, the patients were divided into two groups: the cases group was composed of patients to whom the peripheral venous cannulation was performed with the ultrasound-guided technique (UST), while the control was composed of patients with whom the standard technique (ST) was performed. The ultrasound LOGIQ P5 750VA from General Electric Healthcare, with an 11 mHz linear probe, was utilized, along with peripheral venous catheters model InsyteTM AutoguardTM with gauges of 14G to 26G. (3) Results. Seventy-two cases. The use of the ultrasound decreased the time (618.34s ST, 126s UST) and the number of punctures (2.92 ST, 1.23 UST); about 25% of the patients did not have complications with the UST, as compared to 8% with the ST. The use of the ultrasound decreased the pain experienced by 1.44 points in the visual analog scale, as compared to 0.11 points with the ST. The rate of success of the first try with the UST was 76%, as compared to 16% of the ST. The gauge of the catheter increased with the UST, with successful cannulations obtained with 20G (56%) and 18G (41%) gauges. (4) Conclusions. The use of ultrasound facilitates venous cannulation according to the variables of the study. The ultrasound visualization of the vessels is associated with the selection of the catheter gauge. There was no relation between the complications and the depth of the blood vessels.Sin financiación2.645 JCR (2020) Q2, 40/88 Health Policy & Services0.533 SJR (2021) Q2, 115/273 Health PolicyNo data IDR 2020UE