Does the meteorological origin of heat waves influence their impact on health? A 6-year morbidity and mortality study in Madrid (Spain)

In Spain, two synoptic-scale conditions influence heat wave formation. The first involves advection of warm and dry air masses carrying dust of Saharan origin. Objective: to determine whether the impact of heat waves on health outcomes in Madrid (Spain) during 2013–2018 varied by synoptic-scale condition.The authors wish to thank the funding provided by the ENPY 304/20, and ENPY 436/21 projects of the National Health Institute Carlos III (ISCIII)

Short–term effects of air pollution and noise on emergency hospital admissions in Madrid and economic assessment

The aim of this study was to study the effect of air pollution and noise has on the population in Madrid Community (MAR) in the period 2013–2018, and its economic impact

Short-term impact of noise, other air pollutants and meteorological factors on emergency hospital mental health admissions in the Madrid region

A number of environmental factors, such as air pollution, noise in urbanised settings and meteorological-type variables, may give rise to important effects on human health. In recent years, many studies have confirmed the relation between various mental disorders and these factors, with a possible impact on the increase in emergency hospital admissions due to these causes. The aim of this study was to analyse the impact of a range of environmental factors on daily emergency hospital admissions due to mental disorders in the Madrid Autonomous Region (MAR), across the period 2013–2018

Effects of Albumin Treatment on Systemic and Portal Hemodynamics and Systemic Inflammation in Patients With Decompensated Cirrhosis

BACKGROUND & AIMS: We investigated the effect of albumin treatment (20% solution) on hypoalbuminemia, cardiocirculatory dysfunction, portal hypertension, and systemic inflammation in patients with decompensated cirrhosis with and without bacterial infections. METHODS: We performed a prospective study to assess the effects of long-term (12 weeks) treatment with low doses (1 g/kg body weight every 2 weeks) and high doses (1.5 g/kg every week) of albumin on serum albumin, plasma renin, cardiocirculatory function, portal pressure, and plasma levels of cytokines, collecting data from 18 patients without bacterial infections (the Pilot-PRECIOSA study). We also assessed the effect of short-term (1 week) treatment with antibiotics alone vs the combination of albumin plus antibiotics (1.5 g/kg on day 1 and 1 g/kg on day 3) on plasma levels of cytokines in biobanked samples from 78 patients with bacterial infections included in a randomized controlled trial (INFECIR-2 study). RESULTS: Circulatory dysfunction and systemic inflammation were extremely unstable in many patients included in the Pilot-PRECIOSA study; these patients had intense and reversible peaks in plasma levels of renin and interleukin 6. Long-term high-dose albumin, but not low-dose albumin, was associated with normalization of serum level of albumin, improved stability of the circulation and left ventricular function, and reduced plasma levels of cytokines (interleukin 6, granulocyte colony-stimulating factor, interleukin 1 receptor antagonist, and vascular endothelial growth factor) without significant changes in portal pressure. The immune-modulatory effects of albumin observed in the Pilot-PRECIOSA study were confirmed in the INFECIR-2 study. In this study, patients given albumin had significant reductions in plasma levels of cytokines. CONCLUSIONS: In an analysis of data from 2 trials (Pilot-PRECIOSA study and INFECIR-2 study), we found that albumin treatment reduced systemic inflammation and cardiocirculatory dysfunction in patients with decompensated cirrhosis. These effects might be responsible for the beneficial effects of albumin therapy on outcomes of patients with decompensated cirrhosis. ClinicalTrials.gov, Numbers: NCT00968695 and NCT03451292

A multi-country test of brief reappraisal interventions on emotions during the COVID-19 pandemic.

The COVID-19 pandemic has increased negative emotions and decreased positive emotions globally. Left unchecked, these emotional changes might have a wide array of adverse impacts. To reduce negative emotions and increase positive emotions, we tested the effectiveness of reappraisal, an emotion-regulation strategy that modifies how one thinks about a situation. Participants from 87 countries and regions (n = 21,644) were randomly assigned to one of two brief reappraisal interventions (reconstrual or repurposing) or one of two control conditions (active or passive). Results revealed that both reappraisal interventions (vesus both control conditions) consistently reduced negative emotions and increased positive emotions across different measures. Reconstrual and repurposing interventions had similar effects. Importantly, planned exploratory analyses indicated that reappraisal interventions did not reduce intentions to practice preventive health behaviours. The findings demonstrate the viability of creating scalable, low-cost interventions for use around the world

Eficacia del entrenamiento en comunicación desde la flexibilidad psicológica a estudiantes de fisioterapia para la mejora del manejo del dolor crónico

Este estudio tiene como objetivo valorar la efectividad de un programa de entrenamiento en habilidades de comunicación dirigido a estudiantes de fisioterapia para el manejo de los aspectos psicosociales del dolor crónico y explorar la contribución del modelo de flexibilidad psicológica (FP) a dicho entrenamiento.UEM/CIPI/075/17No data 2019UE

El papel de las redes de investigación en la construcción de la ciudad inteligente, análisis del caso de la red CI-RTI

Las soluciones y estrategias de Smart City siguen implementándose en las ciudades, convirtiendo las nuevas tecnologías urbanas en cada vez más ubicuas e indispensables. Uno de los grandes problemas de este crecimiento acelerado de aplicaciones inteligentes para la ciudad son las dudas sobre el rigor científico y el uso de innovaciones tecnológicas aún sin estudios previos soportados por datos que sugieran la mejor manera de llevar a cabo una actuación. Desde el mundo de la investigación se están realizando importantes aportaciones a este campo que pueden mejorar los resultados de las Smart City. El objetivo de la red CI-RTI (Red temática de investigación en Ciudades Inteligentes) es dar visibilidad a estas investigaciones, con sus necesarias relaciones en el desarrollo de aplicaciones y la transferencia a empresas, produciendo múltiples sinergias. Esta red está conformada por diez grupos de investigación de distintas universidades españolas, con experiencia en movilidad, energía, tecnología, salud, planeamiento urbano y una componente científica en sistemas inteligentes para abordarlos. A través de artículos, encuentros, participación en congresos y diversas colaboraciones se encargan de difundir sus resultados y colaborar a aumentar la eficiencia de las soluciones y estrategias Smart.TIN2016-81766-REDTNo data 2019UE

Effects of Albumin Treatment on Systemic and Portal Hemodynamics and Systemic Inflammation in Patients With Decompensated Cirrhosis

We investigated the effect of albumin treatment (20% solution) on hypoalbuminemia, cardiocirculatory dysfunction, portal hypertension, and systemic inflammation in patients with decompensated cirrhosis with and without bacterial infections. We performed a prospective study to assess the effects of long-term (12 weeks) treatment with low doses (1 g/kg body weight every 2 weeks) and high doses (1.5 g/kg every week) of albumin on serum albumin, plasma renin, cardiocirculatory function, portal pressure, and plasma levels of cytokines, collecting data from 18 patients without bacterial infections (the Pilot-PRECIOSA study). We also assessed the effect of short-term (1 week) treatment with antibiotics alone vs the combination of albumin plus antibiotics (1.5 g/kg on day 1 and 1 g/kg on day 3) on plasma levels of cytokines in biobanked samples from 78 patients with bacterial infections included in a randomized controlled trial (INFECIR-2 study). Circulatory dysfunction and systemic inflammation were extremely unstable in many patients included in the Pilot-PRECIOSA study; these patients had intense and reversible peaks in plasma levels of renin and interleukin 6. Long-term high-dose albumin, but not low-dose albumin, was associated with normalization of serum level of albumin, improved stability of the circulation and left ventricular function, and reduced plasma levels of cytokines (interleukin 6, granulocyte colony-stimulating factor, interleukin 1 receptor antagonist, and vascular endothelial growth factor) without significant changes in portal pressure. The immune-modulatory effects of albumin observed in the Pilot-PRECIOSA study were confirmed in the INFECIR-2 study. In this study, patients given albumin had significant reductions in plasma levels of cytokines. In an analysis of data from 2 trials (Pilot-PRECIOSA study and INFECIR-2 study), we found that albumin treatment reduced systemic inflammation and cardiocirculatory dysfunction in patients with decompensated cirrhosis. These effects might be responsible for the beneficial effects of albumin therapy on outcomes of patients with decompensated cirrhosis. ClinicalTrials.gov, Numbers: NCT00968695 and NCT03451292

Foto de familia. Un estudio descriptivo de los recursos de información científica en las bibliotecas virtuales del sistema sanitario público español

Objective: To identify and quantify scientific information resources, and to describe the present situation of libraries in the Spanish public health system. Methods and Materials: A survey sent to the heads of the health science libraries in the public health system and the virtual libraries in each Health Council. Variables: number of centres, number of users and their distribution by type, number of libraries and their staff, and shared scientific information resources. Results: 14 of the 17 Autonomous Communities have responded. All except Canarias, La Rioja and Comunidad Valenciana. In 14 communities are 201 specialized libraries, with 295 librarians, that serve more than 130.000 professionals in the public health system. The Health Councils have started the development of virtual libraries, which are in different development phases. On 2006 the libraries have subscribed, via shared access through virtual libraries, more than 17 000 journals in electronic format and 36 bibliographic databases. The presence of bibliographic management programs, meta-search engines and linksolvers is still low. Conclusions: The libraries in the public health system are subscribed to a significant volume of scientific information resources, based on the number of centers and users they give service to. A first approximation reveals that most resources overlap between the different communities. A more detailed study could corroborate those results and suggest cooperation systems between communities. The recent development of virtual libraries in the counties is promoting the access for all the health professionals to electronic resources, but would be necessary to evaluate the use of those resources. In spite of these advances, there is still reluctance to subscribe to "next generation" resources, such as meta-search engines or linksolvers

Effects of Albumin Treatment on Systemic and Portal Hemodynamics and Systemic Inflammation in Patients With Decompensated Cirrhosis

We investigated the effect of albumin treatment (20% solution) on hypoalbuminemia, cardiocirculatory dysfunction, portal hypertension, and systemic inflammation in patients with decompensated cirrhosis with and without bacterial infections