Recent Submissions

Cobertura vacunal, creencias y actitudes en niños y adolescentes trasplantados: una revisión sistemática de métodos mixtos 

[ES] Objetivo: Las enfermedades infecciosas prevenibles mediante vacunación son una causa de morbilidad y mortalidad en niños trasplantados. El objetivo principal de este estudio fue sintetizar la evidencia disponible de la cobertura vacunal en niños y adolescentes candidatos o receptores de traspl...

Reduction in the Risk of Peripheral Neuropathy and Lower Decrease in Kidney Function with Metformin, Linagliptin or Their Fixed-Dose Combination Compared to Placebo in Prediabetes: A Randomized Controlled Trial 

Objective: To compare the effect of glucose-lowering drugs on peripheral nerve and kidney function in prediabetes. Methods: Multicenter, randomized, placebo-controlled trial in 658 adults with prediabetes treated for 1 year with metformin, linagliptin, their combination or placebo. Endpoints are sm...

A Visual–Emotional Analysis of Perception in the Homes of Chronic Patients during Confinement by COVID-19 in Spain 

One of the highest risk groups the highest during COVID-19 were chronic patients. In addition to being a population at risk, in the lockdown they had to combine the pandemic with their own disease. Through a qualitative study of visual–emotional analysis, the perception of patients and their social...

Parasitemia Levels in Trypanosoma cruzi Infection in Spain, an Area Where the Disease Is Not Endemic: Trends by Different Molecular Approaches 

Trypanosoma cruzi infection has expanded globally through human migration. In Spain, the mother-to-child route is the mode of transmission contributing to autochthonous Chagas disease (CD); however, most people acquired the infection in their country of origin and were diagnosed in the chronic phas...

Human-Borne Pathogens: Are They Threatening Wild Great Ape Populations? 

Climate change and anthropic activities are the two main factors explaining wild great ape habitat reduction and population decline. The extent to which human-borne infectious diseases are contributing to this trend is still poorly understood. This is due to insufficient or fragmented knowledge on ...

Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study 

Background: US and Northern European studies have found a higher prevalence of alcohol-related problems among men who have sex with men (MSM) than among the general population of men (GPM). However, most of them relied on traditional sampling methods, not profiting from MSM dating apps and websites...

Principios básicos de Evaluación Económica de Intervenciones Sanitarias 

[ES] El objetivo de este artículo es presentar los conceptos generales asociados a los estudios de evaluación económica de intervenciones sanitarias. Dichos elementos forman parte de la información básica que debe estar presente en cualquier estudio y, por tanto, deben ser tenidos en cuenta a la ho...

Introducción a la Gestión y su aplicación en la Sanidad 

[ES] La gestión es un término amplio y polisémico; la historia del pensamiento empresarial va definiendo en una serie de funciones (planificar, organizar, incorporar personas, dirigir y evaluar), que pueden sintetizarse en coordinar la producción y motivar a los que participan en ella. La gestión t...

Fundamentos de la organización de hospitales y redes sanitarias en el Sistema Nacional de Salud 

[ES] En las últimas décadas, se han introducido grandes avances en las prestaciones sanitarias, pero la organización de los hospitales no ha cambiado al mismo ritmo. Es previsible que las demandas sociales, la evolución tecnológica y de las comunicaciones, así como los nuevos desafíos asistenciales...

Factors related to the voluntary interruption of pregnancy in Spain 

Introduction: The voluntary interruption of pregnancy (VIP) is a complex process, influenced both by health and psychosocial factors, which in turn affect the health and well-being of the women. The objective of this study is to determine the factors related to the voluntary interruption of pregnan...

Estudio transversal sobre factores relacionados con el dolor crónico y su atención, según sexo 

[ES] Objetivo: Describir las características sociodemográficas, clínicas y terapéuticas de las personas con dolor crónico no oncológico, según sexo. Pacientes y método: Estudio transversal en la Unidad del Dolor del Complejo Asistencial Universitario de Salamanca entre marzo y septiembre de 2020. S...

Derivación de pacientes. Centros y Unidades de Referencia. CSUR y ERN 

[ES] La creciente complejidad de los procesos atendidos y de los procedimientos diagnósticos y terapéuticos disponibles justifica la necesidad de definir fórmulas innovadoras para garantizar el derecho a la salud de todos los ciudadanos. En España, los Centros, Servicios y Unidades de Referencia (C...

Population vulnerability to extreme cold days in rural and urban municipalities in ten provinces in Spain 

Background: The objective was to analyze whether there are differences in vulnerability to Extreme Cold Days (ECD) between rural and urban populations in Spain. Methodology: Time series analysis carried out from January 1, 2000, through December 31, 2013. Municipalities with over 10,000 inhabitants...

Diagnostics to support mycetoma management-Development of two target product profiles 

Objective: Mycetoma is a neglected tropical disease caused by more than 70 different microorganisms and identified by the WHO as one of the high-priority diseases for developing diagnostic tests. To ensure the production of diagnostic assays for use by clinical staff in endemic regions, target prod...

Promoting Positive Masculinities to Address Violence Against Women: A Multicountry Concept Mapping Study 

Interventions engaging men that challenge unequal gender norms have been shown to be effective in reducing violence against women (VAW). However, few studies have explored how to promote anti-VAW positive masculinity in young adults. This study aims to identify key multicountry strategies, as conce...

Burden of infectious disease studies in Europe and the United Kingdom: a review of methodological design choices 

This systematic literature review aimed to provide an overview of the characteristics and methods used in studies applying the disability-adjusted life years (DALY) concept for infectious diseases within European Union (EU)/European Economic Area (EEA)/European Free Trade Association (EFTA) countri...

Public Opinion on Food Policies to Combat Obesity in Spain 

Introduction: Poor diet is the fourth-leading cause of mortality in Spain, where adherence to the Mediterranean diet has declined in recent decades. To remedy this situation, a series of food policies have been proposed that would be easier to implement if they had public support. Material and meth...

Assessing performance of the Healthcare Access and Quality Index, overall and by select age groups, for 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019 

Background: Health-care needs change throughout the life course. It is thus crucial to assess whether health systems provide access to quality health care for all ages. Drawing from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019), we measured the Healthcare Access an...