Mobile applications to prescribe physical exercise in frail older adults: review of the available tools in app stores.

INTRODUCTION: Different remote interventions, such as applications (apps), have been used to continue promoting healthy ageing and preventing disability during the COVID-19 pandemic. The growing trend of apps in health is exponential and may facilitate scaling up physical activity prescription. Numerous tools are available, but little is known regarding their appropriateness, validation and recommendation, especially for frail older adults. METHODS: In-house, we developed an application that makes both the Apple app Store and the Google Play Store searchable using topic-related keywords and facilitates the extraction of basic app-information of the search results. The study was aimed at apps available to an English-speaking market. The resulting apps were filtered using various inclusion and exclusion criteria. The resultant apps underwent a more in-depth characterisation and searches for scientific publications on each app website and PubMed. RESULTS: From an initial search result of >2,800 apps, 459 met the initial inclusion criteria. After a more in-depth review of their features, 39 apps remained for possible app in older frail patients. After testing them, 22 apps were excluded. Seventeen apps fit the inclusion and exclusion criteria and were deemed appropriate after peer review. Of these, only one app, Vivifrail, had any type of publication/published evidence. CONCLUSION: Apps can be valuable tool in prescribing exercise for frail older adults living in the community. However, few apps seem useful on a large scale, and there is limited evidence to support their effectiveness. It is important to invest in adapting Information and Communication Technologies to this population group.

Sustained improvement of intrinsic capacity in community-dwelling older adults: The +AGIL Barcelona multidomain program.

BACKGROUND: Different programs promote healthy ageing through the optimization of intrinsic capacity. However, a major challenge is to assess their sustained effects over time. +AGIL Barcelona, a consolidated multidomain program, aims to optimize older adults' intrinsic capacity through a coordinated approach among primary care, geriatrics and community resources, in agreement with the integrated care for older people (ICOPE) guidelines. We aimed to evaluate the +AGIL Barcelona longitudinal effect on older adults' physical performance. METHODS: All +AGIL Barcelona consecutive participants since 2016 were enrolled. After a comprehensive geriatric assessment, a tailored, multidisciplinary intervention aligned with the ICOPE guidelines is offered. It includes a 10-week boost multicomponent exercise program, nutritional and sleep-hygiene counselling, revision and optimization of pharmacological treatments and screening for cognitive impairment, depression and loneliness. Changes in physical performance after 3 and 6 months were assessed using mixed models including baseline frailty degree, time and all potential significant confounders. RESULTS: We included 194 participants in the analysis (mean age = 81.6 [standard deviation = 5.8], 68% women). An independent, clinically and statistically significant improvement in physical performance (Short Physical Performance Battery [SPPB] test, combining gait speed, strength and balance) was found at 3 months (SPPB mean change: 1.4; 95% CI: 1.1-1.6) and 6 months (SPPB mean change: 1.1; 95% CI 0.8-1.5). Equivalent results were observed for all the SPPB sub-tests. CONCLUSIONS: A coordinated, multidisciplinary and integrated program can benefit older adults' intrinsic capacity. The participants' empowerment and the connection with the available community resources are critical points for a successful intervention.

Co-designing implementation strategies to promote remote physical activity programs in frail older community-dwellers.

Background: The "AGIL Barcelona (AGILBcn)" community-based integrated care program is a multicomponent healthy aging intervention for frail older adults. In this context, the present study aimed to identify implementation strategies to optimize the accessibility, acceptability, and adaptability of mobile health (mhealth) interventions to enhance physical activity in frail older adults, and to prioritize action points according to their importance and feasibility, through a co-design process. Material and methods: A mixed methods approach was used. In the qualitative phase, a method adapted from the World Café was applied in 6 virtual groups to identify strategies to facilitate the virtual physical activity program. In the quantitative phase, prioritization and feasibility of the strategies was analyzed through surveys. Strategies were ranked based on priority vs. feasibility, revealing if strategies should either be: implemented first; if possible; taken into account for future consideration; or directly disregarded. The convenience sample included older adults (n = 7), community professionals (n = 9) and health professionals (n = 13). Qualitative data were analyzed by summative content analysis and quantitative data by nonparametric descriptive analyses. Results: A total of 27 strategies were identified and grouped into four categories: general strategies for reducing barriers; specific strategies for facilitating the use of a digital application; specific strategies for facilitating participation in virtual exercise groups; and specific strategies for facilitating external support. According to the ranking of strategies, the first ones to be implemented included: digital literacy, digital capability assessment, family technology support, weekly telephone follow-up by professionals, personalizing exercises, and virtual exercises in small groups. Conclusion: The active participation of all stakeholders enabled us to identify potential strategies for implementing person-oriented technology in physical activity programs and for engaging older adults.

[Perceptions and external factors of physical activity in adolescents using mixed methods]. / Percepciones y factores externos de la actividad física en adolescentes mediante métodos mixtos.

OBJECTIVE: Analyze the levels of physical activity in adolescents and their relationship with perceptions of physical activity and external factors. METHOD: Cross-sectional descriptive observational study. The participants were adolescents between the ages of 11 and 18. They were recruited in secondary schools in the municipality of Esplugues de Llobregat, Barcelona, Spain. The measurements were amount of physical activity (IPAQ-A questionnaire) and the relationship between level of physical activity and the perceptions of physical activity and external factors proposed by the health promotion model. RESULTS: Of the total sample, 60.34% participants were insufficiently active. The factors positively associated with physical activity were male gender (p<0.01), engaging in extracurricular sports (p<0.01), perceiving benefits (p<0.01), perceiving self-efficacy (p<0.01), interpersonal influences (p<0.01), having parents who engage in sports (p<0.01), social support (p<0.01) and social norms supporting exercise (p<0.01). The factors negatively associated with physical activity were female gender (p<0.01), body mass index (p=0.048) and perceiving obstacles (p<0.01). There was no relationship with social class (p=0.164). Situational influences were a conditioning factor for boys (p<0.01), but not girls (p=0.561). CONCLUSIONS: This study identifies factors that determinate the practice of physical activity in adolescents. Taking these factors into account in the design of health promotion interventions and policies could help increase levels of physical activity in this population. Even so, there are some variables, such as gender and socioeconomic status, that should be explored in depth through research that is more exploratory and discursive.

Percepciones y factores externos de la actividad física en adolescentes mediante métodos mixtos / Perceptions and external factors of physical activity in adolescents using mixed methods

Objetivo: Analizar los niveles de actividad física en adolescentes y su relación con las percepciones sobre actividad física y con los factores externos. Método: Estudio observacional descriptivo transversal. Participaron adolescentes entre 11 y 18 años, reclutados/as en los centros de educación secundaria del municipio de Esplugues de Llobregat, Barcelona. Las mediciones consistieron en la valoración del nivel de actividad física mediante el cuestionario IPAQ-A y la relación del nivel de práctica de actividad física con las percepciones sobre actividad física y con los factores externos descritos en el modelo de promoción de la salud de Pender. Resultados: El 60,34% de los/las adolescentes fueron insuficientemente activos/as. Los factores asociados positivamente a la práctica de actividad física fueron el sexo masculino (p < 0,01), hacer deporte extraescolar (p < 0,01), la percepción de beneficios (p < 0,01), la percepción de autoeficacia (p < 0,01), las influencias interpersonales (p < 0,01), que los padres y las madres hagan deporte (p < 0,01), los modelos (p < 0,01) y las normas (p < 0,01). Los factores correlacionados asociados negativamente fueron el sexo femenino (p < 0,01), el índice de masa corporal (p = 0,048) y la percepción de barreras (p < 0,01). No se halló relación con la clase social (p = 0,164). Las influencias situacionales fueron un factor condicionante en los chicos (p < 0,01), pero no en las chicas (p = 0,561). Conclusiones: Este estudio identifica factores que determinan la práctica de actividad física en los/las adolescentes, que teniéndolos en cuenta en el diseño de intervenciones y políticas de promoción podrían ayudar a aumentar los niveles actuales. Aun así, existen algunos condicionantes, como el sexo y la clase social, que habría que estudiar con profundidad mediante investigaciones más exploratorias y discursivas. (AU)

Objective: Analyze the levels of physical activity in adolescents and their relationship with perceptions of physical activity and external factors. Method: Cross-sectional descriptive observational study. The participants were adolescents between the ages of 11 and 18. They were recruited in secondary schools in the municipality of Esplugues de Llobregat, Barcelona, Spain. The measurements were amount of physical activity (IPAQ-A questionnaire) and the relationship between level of physical activity and the perceptions of physical activity and external factors proposed by the health promotion model. Results: Of the total sample, 60.34% participants were insufficiently active. The factors positively associated with physical activity were male gender (p < 0.01), engaging in extracurricular sports (p < 0.01), perceiving benefits (p < 0.01), perceiving self-efficacy (p < 0.01), interpersonal influences (p < 0.01), having parents who engage in sports (p < 0.01), social support (p < 0.01) and social norms supporting exercise (p < 0.01). The factors negatively associated with physical activity were female gender (p < 0.01), body mass index (p = 0.048) and perceiving obstacles (p < 0.01). There was no relationship with social class (p = 0.164). Situational influences were a conditioning factor for boys (p < 0.01), but not girls (p = 0.561). Conclusions: This study identifies factors that determinate the practice of physical activity in adolescents. Taking these factors into account in the design of health promotion interventions and policies could help increase levels of physical activity in this population. Even so, there are some variables, such as gender and socioeconomic status, that should be explored in depth through research that is more exploratory and discursive. (AU)

Association between subjects with newly Diagnosed rheumatoid arthritis and dental caries / Asociación entre sujetos con artritis reumatoide recientemente diagnosticada y caries dental

Abstract Alterations in saliva, temporomandibular joint disorders, dysphagia, Sjogrens syndrome, dental caries, periodontal disease, and tooth loss have been identified in patients with Rheumatoid Arthritis. The aims of this research were 1) to study the association between newly diagnosed rheumatoid arthritis and dental caries and 2) to identify most frequent teeth with caries in study groups. A descriptive pilot study was performed. A total of 620 participants were evaluated, 29 met the selection criteria. The subjects were divided into 2 groups: 13 subjects with newly diagnosed rheumatoid arthritis and 16 subjects without rheumatoid arthritis. Salivary parameters, DMFT index, care index, FS-T index and Treatment Needs Index were evaluated in all participants. The Fishers Exact test and Mann-Whitney U test we used to establish the differences between groups. Low mean in all salivary parameters and a high caries frequency were observed in subjects with newly diagnosed rheumatoid arthritis compared to a control group (p<0.01). The right maxillary second premolar (n=6, 46%, p=0.0100); right mandibular second premolar (n=7,54%, p=0.0462) and left mandibular second molar (n=10,77%, p=0.0001) were the most frequent teeth with caries. Early diagnosis and early treatment of rheumatoid arthritis can improve the prognosis in most of patients. The development of new public health policies and care based on the prevention are necessary to improve the quality of patients lives.

Resumen Alteraciones en la saliva, trastornos de la articulación temporomandibular, disfagia, síndrome de Sjogren, caries dental, enfermedad periodontal y pérdida de dientes son algunas patologías que se han identificado en pacientes con artritis reumatoide. Los objetivos de este estudio fueron (1) Asociar la artritis reumatoide recientemente diagnosticada con la caries dentales e (2) Identificar los dientes más frecuentes con caries en los grupos de estudio. Se realizó un estudio piloto descriptivo. 620 participantes fueron evaluados, 29 sujetos cumplieron con los criterios de selección. Los sujetos se dividieron en 2 grupos: 13 sujetos con artritis reumatoide recién diagnosticados y 16 sujetos sin artritis reumatoide. En todos los participantes se evaluaron parámetros salivales, el índice CPOD, el índice IC, el índice FS-T y el índice INT. La prueba exacta de Fisher y U de Mann-Whitney se utilizaron para establecer diferencias entre grupos. En los resultados se observó un bajo promedio de los parámetros salivales y una alta frecuencia de caries en sujetos con artritis reumatoide recién diagnosticados comparados con un grupo control (p<0.01). El segundo premolar superior derecho (n=6,46%, p=0,0100); el segundo premolar mandibular derecho (n=7,54%, p=0.0462) y el segundo molar mandibular izquierdo (n=10,77%, p=0.0001) fueron los dientes más frecuentes con caries dental. El diagnóstico y el tratamiento temprano de la artritis reumatoide pueden mejorar el pronóstico en la mayoría de los pacientes. El desarrollo de nuevas políticas de salud pública basadas en la prevención de la cavidad bucal son necesarias para mejorar la calidad de vida de los pacientes.

Actividad física durante el confinamiento de la covid-19. Revisión integrativa / Physical activity during the covid-19 confinement: integrative review

INTRODUCCIÓN: Debido a la situación de pandemia originada por la COVID-19, muchos gobiernos implementaron medidas de distanciamiento social y confinamiento. Estas medidas demostraron ser eficaces para frenar la propagación del virus, sin embargo, tuvieron un fuerte impacto en la vida de las personas modificando sus estilos de vida. OBJETIVO: Identificar los cambios producidos en la práctica de actividad física por parte de la población mundial mayor de 12 años, durante el confinamiento por COVID-19 en el periodo de enero a julio del 2020. METODOLOGÍA: Se llevó a cabo una revisión integrativa de la literatura publicada entre diciembre 2019 y noviembre 2020, en las bases de datos: Pubmed, CINAHL, Cochrane, SCOPUS, Web of Science, Cuidatge y Cuiden. RESULTADOS: Finalmente 24 artículos fueron seleccionados. Estos artículos se clasificaron en 5 dimensiones: actividad física, alimentación, salud física, salud mental y aislamiento social. DISCUSIÓN: Se plantea que algunas de las asunciones que se tenían en relación con la práctica de actividad física previa al confinamiento se han visto modificadas creando nuevos esquemas y paradigmas que pueden contribuir al desarrollo de nuevos modelos para la promoción de la actividad física. CONCLUSIONES: Es fundamental que gobiernos, instituciones y profesionales de la salud desarrollen planes y estrategias para la promoción de la práctica de actividad física regular, instruyan a la población sobre la importancia de mantener conductas de vida saludables e incentiven a ponerlas en práctica, especialmente en situaciones como la vivida durante el confinamiento.(AU)

BACKGROUND: Many governments implemented social distancing and confinement measures due to the pandemic situation caused by COVID-19. These proved to be effective in stopping the virus spread, however, the measures had a strong impact on people’s lives by modifying their lifestyles. OBJECTIVE: To identify the changes that occurred in the population’s practice of physical activity by the world population of over 12 years old, during confinement by COVID-19 in the period from January to July 2020. METHODOLOGY: An integrative review of the literature was performed in the databases: Pubmed, CINAHL, Cochrane, SCOPUS, Web of Science, Cuidatge and Cuiden. The search included articles published between November 2019 and December 2020. RESULTS: Finally, 24 articles were selected for full review. These articles were classified in 5 dimensions: physical activity, diet, physical health, mental health and social isolation. DISCUSSION: It is suggested that some of the assumptions that were held in relation to the practice of physical activity prior to confinement have been modified, creating new schemes and paradigms that can contribute to the development of new models for the promotion of physical activity. CONCLUSIONS: It is essential that governments, institutions and health professionals work together to develop plans and strategies to promote the practice of regular physical activity. As nurses, our intervention is essential in this area, instructing the population on the importance of maintaining healthy lifestyles, and encouraging them to put them into practice, especially in situations such as those experienced during confinement. (AU)

Comment on Blancafort Alias et al. A Multi-Domain Group-Based Intervention to Promote Physical Activity, Healthy Nutrition, and Psychological Wellbeing in Older People with Losses in Intrinsic Capacity: AMICOPE Development Study. Int. J. Environ. Res. Public Health 2021, 18, 5979.

We read with interest the article by Blancafort et al. [...].

Complicaciones y cuidado local de la piel tras la realización de un tatuaje: revisión sistemática / Complications and local skin care after getting a tattoo: a systematic review

Objetivos: Identificar las complicaciones dermatológicas y los cuidados locales de los tatuajes temporales y permanentes a través de una revisión sistemática. Metodología: Se realizó una revisión sistemática aplicando la Declaración PRISMA. La búsqueda se llevó a cabo en 6 bases de datos (PubMed, Cochrane Library, CUIDEN, CINHAL, DARE y LILACS) y dos bases no indexadas (Dermatología Elsevier y Dermatology Online Journal). Se delimitó la búsqueda por idioma (inglés/español) y por año (últimos 10 años). Una vez depurada la base de datos se procedió a la evaluación de la calidad por pares. Resultados: Se obtuvieron un total de 583 artículos, de los cuales se eliminaron 86 por duplicado y 379 tras la revisión por título y resumen. Se seleccionaron 118 artículos a texto completo, y una vez evaluada la calidad a través de los criterios propuestos por la Red EQUATOR, 30 artículos presentaron una calidad mediaalta. Finalmente, para su análisis cualitativo se incluyeron un total 22 casos clínicos (informe CARE), 5 estudios observacionales (informe STROBE), 2 ensayos clínicos (informe CONSORT) y una revisión sistemática (informe PRISMA). Conclusiones: Se ha evidenciado la necesidad de actualizar conocimientos orientados al abordaje de los tratamientos y la identificación de las complicaciones relacionadas con los tatuajes basados en evidencias sólidas. El desarrollo de guías de práctica clínica que aborden la detección y la aplicación de tratamientos adecuados a este problema de salud puede ser el primer paso para integrar el manejo de los tatuajes en la cartera de servicios del sistema sanitario, permitiendo conocer la dimensión epidemiológica y los recursos necesarios en atención primaria (AU)

Objectives: To identify dermatological complications and local care of temporary and permanent tattoos through a systematic review. Methods: A systematic review was carried out applying the PRISMA Declaration. The search was carried out in 6 databases (PubMed, Cochrane Library, CUIDEN, CINHAL, DARE and LILACS) and two non-indexed databases (Elsevier Dermatology and Dermatology Online Journal). The search was limited by language (English / Spanish) and by year (last 10 years). Once the database was refined, the quality evaluation was carried out in pairs. Results. A total of 583 articles were obtained, of which 86 were removed in duplicate and 379 after review by title and abstract. 118 full-text articles were selected, which, once the quality was evaluated through the criteria proposed by the EQUATOR Network, 30 articles presented a high average quality. Finally, 22 clinical cases (CARE report), 5 observational studies (STROBE report), 2 clinical trials (CONSORT report) and a systematic review (PRISMA report) were included for analysis. Conclusions: There is a need to update knowledge oriented to the treatment approach and the identification of complications related to tattoos based on solid evidence. The development of clinical practice guidelines that address the detection and application of appropriate treatments for this health problem, may be the first step in integrating the management of tattoos into the portfolio of services of the Health System, allowing to know the epidemiological dimension and the necessary resources in Primary Care (AU)

Antimicrobial effect of gold nanoparticles in the formation of the Staphylococcus aureus biofilm on a polyethylene surface.

The main of this study was to evaluate the inhibitory effect on the in vitro formation of the Staphylococcus aureus biofilm formed on a polyethylene (PE) surface with a nanostructured Gold (Au) coating for medical devices. An experimental in vitro study was carried out using PE discs with an Au nanoparticle coating (AuNPs) on one side (experimental group) and without coating on the other (control group); the discs were mounted in the CDC biofilm reactor adding broth of yeast-dextrose-peptone (YPD) sterile culture inoculated with S. aureus in a cell suspension (5 × 108 cells/ml). The specimens were evaluated at different times (6, 12, 24, 48, 72 h) and stained with the Live/Dead Bacterial Viability Kit (Invitrogen) for observation, analysis, and quantification with confocal laser scanning microscopy (CLSM) and scanning electron microscopy (SEM). The results showed that as evaluation time passed an increasing of S. aureus biofilm formation was observed in the control group, in the experimental group, a statistically significant biofilm inhibition was observed with respect to the AuNPs uncoated specimens (p ≤ 0.05) and showed a ratio of almost 4:1 viable/nonviable in the biofilm of the uncoated surfaces, with a difference > 5 Log10 in the CFU counts. The PE with AuNP coating showed an inhibitory effect on the biofilm formation of S. aureus.

Análisis crítico de la prescripción enfermera en la Atención Primaria: experiencia de uso en Cataluña / Critical analysis of nurse prescribing in primary care: Experience of its use in Catalonia

No disponible

Las redes sociales en el cuidado de la salud: implicaciones éticas y profesionalismo enfermero / Social networks in health care: Ethical implications and nursing professionalism

No disponible

El reconocimiento de la acción tutorial en la formación especializada de enfermeras de familia y comunitaria / Recognition of tutorial action in specialist family and community nurse training

No disponible

Influencias del entorno universitario en la elección de la especialidad de Enfermería Familiar y Comunitaria / The impact of the university setting on the choice of the family and community nursing specialty

OBJETIVO: explorar la relación entre los aspectos de la formación universitaria y la elección de la especialidad de Enfermería Familiar y Comunitaria (EFyC). MÉTODO: estudio descriptivo transversal a enfermeros internos residentes (EIR) y especialistas que realizan o realizaron formación especializada de EFyC en Cataluña. Cuestionario adhoc online. Análisis estadístico: para variables categóricas, frecuencia absoluta y relativa; y para variables numéricas, promedio y desviación estándar. Comparación de variables: test exacto de Fisher, test de Wilcoxon o U de Mann-Whitney. RESULTADOS: 55 participantes, 90,9% mujeres, con promedio de 26,7 años, 54,6% residentes y 45,4% especialistas, el 56,3% diplomados. Duración de prácticas en Atención Primaria (AP) y Comunitaria superior a dos meses: 66,7% en grado; 58,1% en diplomatura. Factores asociados a la elección de la especialidad: 45,4% con el número EIR, y el 30,9% consideró que hay alguna razón asociada a prácticas en AP y Comunitaria. El promedio de nota en satisfacción con la formación universitaria fue de 6,9 en prácticas y 5,9 en formación teórica. El 63,6% eligió esta especialidad como primera opción, considerando el número EIR y la motivación personal como prioritarias y asociándose con una mayor satisfacción con las prácticas (p= 0,001). CONCLUSIONES: existe relación entre priorización de la especialidad con promociones más recientes y EIR/especialistas que efectuaron las prácticas por un periodo superior a un mes. No se detectó asociación entre priorización de la especialidad con satisfacción de la formación teórica, pero sí en la práctica. Sí existe relación con la motivación y el número EIR en la elección de la especialidad. Se concluye que es importante la formación universitaria en la elección de la especialidad de EFyC

OBJECTIVE: to explore the association between university education aspects and the choice of the Family and Community Nursing specialty. METHOD: a descriptive transversal study with resident nurse interns and specialists that are conducting or have conducted specialized training on Family and Community Nursing in Catalonia. An ad hoc online questionnaire was used. There was a statistical analysis for categorical variables, absolute and relative frequency, and for numeric variables, average and standard deviation. Comparison of variables through Fisher's exact test, Wilcoxon's test, or Mann-Whitney's U Test. RESULTS: there were 55 participants, 90.9% were women, with an average age of 26.7 years: 54.6% were residents and 45.4% were specialist, and 56.3% of them had their degree. The length of practice in Primary Care (PC) and Community Care was over two months: 66.7% at qualification, 58.1% at graduation. Factors associated with the choice of specialty: 45.4% with the resident nurse intern numbers, and 30.9% considered that there was no reason associated with practices in PC and Community Care. The average score in Satisfaction with University Training was 6.9% for practices and 5.9% for theoretical training. Of this sample, 63.6% selected this specialty as their first option, considering the resident nurse intern number and personal motivation as their priority, and associated with a higher satisfaction with practices (p= 0.001). CONCLUSIONS: there is an association between specialty prioritization and the most recent graduate classes and resident nurse interns/specialists who conducted practices for a period longer than one month. No association was detected between specialty prioritization and satisfaction with theoretical training, but there was an association in practice. There was an association with motivation and resident nurse intern number in specialty selection. The conclusion is that university education is important in terms of the choice of the Family and Community Nursing specialty

Exantema fijo medicamentoso por paracetamol. Caso clínico con revisión bibliográfica / Fixed drug eruption with acetaminophen. Clinical case with bibliographic review

El exantema fijo medicamentoso es una toxicodermia caracterizada por la aparición de una lesión cutánea en forma de mácula de color rojizo o violáceo, redonda u oval, edematosa, bien delimitada, y que presenta recurrencias tras la administración del agente causal, generalmente un fármaco. Puede ser producido por una gran variedad de fármacos, entre ellos el paracetamol. El paracetamol es un medicamento con propiedades analgésicas y antipiréticas ampliamente conocido y utilizado por su amplio margen de seguridad y elevada biodisponibilidad. Sin embargo, se han descrito reacciones cutáneas adversas de diferentes tipos e intensidad tras su administración, fundamentalmente urticaria y angioedema, y con menor frecuencia eritema multiforme, necrólisis epidérmica tóxica, exantema fijo y púrpura de Henoch-Schönlein. Se presenta el caso de un usuario tipo con exantema fijo medicamentoso relacionado con el consumo de paracetamol. Se ha realizado una revisión bibliográfica sobre los diversos hallazgos clínicos y el diagnóstico diferencial entre las diferentes toxicodermias, así como el manejo y abordaje de las lesiones basado en el concepto TIME

Fixed drug eruption is a toxicodermia characterized by the appearance of a well-circumscribed reddish or violet, circular or oval, edematous skin lesion which can present recurrences after taking the causal agent, usually a drug. It can be produced by a wide variety of drugs, including acetaminophen. Acetaminophen is a drug with analgesic and antipyretic properties widely known and used for its wide range of safety and high bio-availability. However, different types and intensity of adverse skin reactions have been reported following administration, mainly urticaria and angioedema, and less frequently erythema multiforme, toxic epidermal necrolysis, fixed exanthema and Henoch-Schönlein purpura. We present the case of a role model user with fixed drug exanthema after acetaminophen consumption. A bibliographic review has been made on the various clinical findings and the differential diagnosis between different toxicodermias, as well as the management and approach of the lesions based on the TIME concept

Creando una aplicación móvil en salud / Creating a mobile health application

La aparición de Internet y de las nuevas tecnologías de la información y comunicación han generado una profunda transformación que afecta al cuidado de la salud, y que ha dado lugar a la llamada eHealth. La disponibilidad de mejoras tecnológicas, tanto en las redes de los operadores como en los dispositivos móviles por parte de la población ha favorecido la generación de nuevos escenarios en los diferentes sectores de la sociedad. En el ámbito de la salud, el uso de dispositivos móviles para el cuidado de la salud se denomina mHealth. El auge de la tecnología móvil va en aumento y con ello las aplicaciones móviles, lo que produce una demanda más creciente de esta tecnología por parte de la ciudadanía, profesionales e instituciones. Este artículo pretende describir las distintas etapas del proceso y desarrollo de estas aplicaciones móviles, así como todos aquellos aspectos que considerar hasta su distribución y actualización (AU)

Internet and the new technologies of information and communication (TICs) have deeply transformed health care, leading to the eHealth concept. The availability of technological improvements in networks and mobile devices has favored the development of new societal scenarios. Within the health field, the use of mobile devices for health care is called mHealth. The rise of mobile technology keeps increasing and so do mobile applications, leading to a growing demand for this kind of technology from citizens, professionals and institutions. This article intends to describe the different stages within the process and development of mobile applications, as well as all those aspects which must be considered until distribution and update (AU)