Cultural Competence Interventions in European Healthcare: A Scoping Review.

Europe is undergoing rapid social change and is distinguished by its cultural superdiversity. Healthcare is facing an increasing need for professionals to adapt to this environment. Thus, the promotion of cultural competence in healthcare has become a priority. However, the training being developed and their suitability for the European context are not well known. The aim of this qualitative study has been to map the scientific literature in order to comprehend the current state of research on this topic. For this purpose, we conducted a systematic scoping review of the empirical publications focused on cultural competence interventions for healthcare professionals in European countries. The search was conducted in eight thematic (PsycINFO, MedLine, and PubPsych) and multidisciplinary databases (Academic Search Ultimate, E-Journals, Scopus, ProQuest, and Web of Science) to identify relevant publications up to 2023. Results were presented qualitatively. Out of the initial 6506 records screened, a total of 63 publications were included. Although the interventions were implemented in 23 different European countries, cultural competence interventions have not been widely adopted in Europe. Significant heterogeneity was observed in the conception and operacionalización of cultural competence models and in the implementation of the interventions. The interventions have mostly aimed at improving healthcare for minority population groups and have focused on the racial and ethnic dimensions of the individual. Future research is needed to contribute to the conceptual development of cultural competence to design programs tailored to European superdiversity. This scoping review has been registered in OSF and is available for consultation.

Leisure Attitude, Self-Rated Health, and Psychological Well-Being in Older Adults: A Moderated Mediation Model.

Purpose: A positive leisure attitude among older adults may have a beneficial effect on psychological well-being, both directly and indirectly by fostering a more positive perception of one's health. This paper presents a correlational design that explores associations among leisure attitude, self-rated health, and psychological well-being, and analyzes the potential moderating role of gender in these relationships. Patients and Methods: The sample was selected using simple random probability sampling (N= 409; 61.9% female; Mean age = 72.9; SD = 8.43¸ Range of age 53 to 93 years). Diverse sociodemographic information was collected, and leisure attitudes, self-perceived health, and psychological well-being (positive affect and emotional ties) were assessed. Results: The results revealed a positive effect of leisure attitude on self-rated health and psychological well-being, with self-rated health fully mediating the association between the behavioral component of leisure attitude and psychological well-being. Furthermore, the moderating effect of gender on the relationship between self-rated health and psychological well-being was stronger among men. Conclusion: Positive cognitive and emotional perceptions of leisure among older adults seem to benefit psychological well-being and improve self-rated health, thereby contributing to healthy ageing.

Survival among treated tongue cancer patients: a single-center experience.

OBJECTIVE: To describe overall survival (OS) and disease-free survival (DFS) in a cohort of tongue cancer patients, together with the corresponding demographic, tumor and surgical characteristics. METHODS: A retrospective study was made of 205 consecutive patients with primary tongue cancer subjected to surgery and adjuvant therapy according to the stage of the disease, in Hospital Clínico Universitario Virgen de la Arrixaca (HUVA) (Murcia, Spain) during the period 2000-2020. Survival was evaluated based on the Kaplan-Meier method, and the existence of significant differences between the different study variables was analyzed using the log-rank test. Cox regression analysis was performed for the identification of risk factors. RESULTS: In relation to overall survival, 72.6% of the patients survived for a mean time of 14.43 years [standard error (SE) = 0.74; 95% CI: 12.98-15.87], with a cumulative survival rate of 49.8 ± 3%. Survival was reduced by the presence of tumor adjacent to resection margins [hazard ratio (HR) 2.20; 95% CI 1.09-4.43] (p = 0.028) and infiltrated resection margins (HR 3.86, 95% CI 1.56-9.57) (p = 0.004). Lymphadenectomy in turn increased survival (HR 0.15; 95% CI 0.06-0.42) (p < 0.001). In relation to disease-free survival, 55.3% of the patients suffered no relapse over a mean period of 9.91 years (SE = 0.66; 95% CI: 8.61-11.2), with a cumulative survival rate of 26.6% ± 8.4%. CONCLUSIONS: In tongue cancer patients, overall and specific survival were reduced in the presence of infiltrated resection margins. Lymphadenectomy in turn improved survival compared with patients in which this procedure was not carried out.

Characteristics of RCTs focusing on health promotion in community samples: a scoping review protocol based on the d-CoSPICO framework.

INTRODUCTION: Developing the capabilities of individuals, groups and communities to enhance their health has received a great deal of attention in the literature. One essential source of results is evidence-based intervention programmes, which often involve a number of different variables. This paper describes a methodology for carrying out a scoping review that maps available evidence on randomised controlled trials focusing on health promotion intervention programmes. METHODS AND ANALYSIS: The scoping review protocol follows the general Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Joanna Briggs Institute guidelines. It also incorporates some modifications to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review flowchart and complements its methodological framework. This new format, called documents, Concept, Studies, Participants, Interventions, Comparator, and Outcomes (d-CoSPICO), guides the review sequence, which is represented in a flowchart. The search will focus on different sources of information using formal (searches in thematic -PubPsych, ERIC, MedLine, PsychINFO- and multidisciplinary databases -Academic Search Ultimate, Core Collection Web of Science, Scopus and ProQuest-, repositories and other websites), informal (contact with researchers), and retrospective (previous reviews on this topic) strategies to identify relevant publications until 2021, including grey literature. Coding, identification, selection, and data extraction will be carried out following the generation of a database in which each retrieved record's content (abstract and/or full text) can be analysed. The review is expected to be completed in 2023. ETHICS AND DISSEMINATION: Ethical approval is not required for this review. The d-CoSPICO framework and the results will be disseminated through (a) peer-reviewed publications; (b) presentations at scientific dissemination events and (c) training activities for applying this protocol.

Academic Procrastination in Children and Adolescents: A Scoping Review.

Academic procrastination is a persistent behavior in students' academic development consisting of postponing or delaying the completion of necessary tasks and having a deadline for completion, which is associated with detriment in performance, school dropout, and loss of student well-being. The largest body of existing knowledge on this behavior comes from studies conducted with university students, although it is necessary to deepen the findings obtained at lower educational levels. The aim of this work has been to carry out a scoping review of the empirical publications focused on academic procrastination in children and adolescents. The inclusion and exclusion criteria are detailed following the general guidelines of the Joanna Briggs Institute. However, some modifications are incorporated in the flowchart to guide the review sequence. The search was conducted in eleven thematic (ERIC, MedLine, Psychology and Behavioral Sciences Collection, PsycINFO, PubPsych, and Teacher Reference Center) and multidisciplinary databases (Academic Search Ultimate, E-Journals, ProQuest, Scopus, and Web of Science) to identify relevant publications up to 2022, including grey literature. Out of the initial 1185 records screened, a total of 79 records were selected. The search results included a total of 79 records. The most used assessment instruments, the most studied variables, and the type of design and sources of information used in the selected studies are detailed. Cultural aspects that open new lines of future research are identified.

Psychodrama Group Therapy for Social Issues: A Systematic Review of Controlled Clinical Trials.

The aim of this study was to carry out a systematic review of controlled clinical trials in order to identify both specific populations and social issues which may benefit from the effective use of psychodrama psychotherapy. A search was conducted in the WoS, SCOPUS, PsychINFO, Medline, Academic Search Ultimate, ProQuest, and PubPsych databases, complemented by a manual search on relevant websites and in the reference lists of the selected studies. Randomized controlled trials (RCTs) and quasi-RCTs of group-based psychodrama psychotherapy were included. The Effective Public Health Practice Project (EPHPP) tool was adopted to assess the methodological quality of the included studies. The search identified 14 RCTs and one quasi-RCT evaluating the effects of group-based psychodrama psychotherapy. The total number of participants in the studies was 642 people. Seven studies were conducted in Turkey, two in the USA, two in Finland, one in Canada, one in Brazil, one in Italy, and one in Iran. The heterogeneity of the issues analyzed indicates that psychodrama improves the symptoms associated with a wide range of problems. Despite psychodrama's long history, most clinical trials in this field have been published this century, which suggests not only that this psychotherapeutic practice remains relevant today but also that it continues to attract substantial interest among the scientific community. Nevertheless, further research efforts are required to understand its potential benefits for psychosocial well-being.

Prevalencia de la violencia en el noviazgo: una revisión sistemática / No disponible

Se presenta una revisión sistemática de estudios sobre prevalencia de la violencia en el noviazgo (física, psicológica y sexual) cometida y sufrida en adolescentes y jóvenes. De 1221 referencias iniciales, 113 cumplían con los criterios de calidad preestablecidos (evaluación de la violencia con instrumentos fiables y válidos, muestras superiores a 500 participantes u obtenidas mediante muestreo probabilístico). Se encontró una gran variabilidad en los datos de prevalencia, con rangos de variación entre el 3.8% y el 41.9% en violencia física cometida; entre el 0.4% y el 57.3% en violencia física sufrida; entre el 4.2% y el 97% en violencia psicológica cometida; entre el 8.5% y el 95.5% en violencia psicológica sufrida; entre el 1.2% y el 58.8% en violencia sexual cometida; y entre el 0.1% y el 64.6% en violencia sexual sufrida. Los resultados sugieren una mayor prevalencia en la perpetración de agresiones psicológicas por mujeres y sexuales por los hombres; una mayor victimización psicológica y sexual en mujeres; así como tasas ligeramente superiores de agresiones en los adolescentes que en los adultos jóvenes. Asimismo, en muchos de los trabajos revisados las agresiones tenían una naturaleza bidireccional (AU)

This article conducts a systematic review on the prevalence of dating violence in adolescents and young people. Primary studies about physical, psychological and sexual dating violence (perpetration and victimization) were analyzed. A total of 1,221 references were found and, out of those, 113 met the pre-established quality criteria (studies had to have used assessment tools with evidence of reliability and validity in samples of over 500 participants or obtained through probabilistic sampling). The results showed great variability in the figures on the prevalence of dating violence. Specifically, the percentages range from 3.8% to 41.9% for perpetrated physical violence; from 0.4% to 57.3% for victimized physical violence; from 4.2% to 97% for perpetrated psychological violence; from 8.5% to 95.5% for victimized psychological violence; from 1.2% to 58.8% for perpetrated sexual violence; and finally, from 0.1% to 64.6% for victimized sexual violence. The results suggest a higher prevalence in the perpetration of psychological aggression by women and sexual violence by men; greater psychological and sexual victimization in women; and slightly higher rates of aggression in adolescents than in young adults. Also, in many of the papers the aggression had a bidirectional nature (AU)

Staphylococcus epidermidis resistente a linezolid en paciente con prótesis articular / Linezolid-resistant Staphylococcus epidermidis in a patient with prosthetic joint

No disponible

Evaluación de la administración de carboximaltosa férrica intravenosa en la consulta de enfermedad renal crónica avanzada, para el control de la anemia / Evaluation of the intravenous administration of iron carboxymaltose for controlling anemia in advanced chronic kidney disease

La carboximaltosa férrica es una formulación de hierro endovenosa segura y de fácil dosificación, se puede administrar hasta 1 gramo iv en una sola sesión y permite ahorro de tiempo de los pacientes y de enfermería. Presentamos los resultados de su administración en una consulta de enfermedad renal crónica, analizando sus resultados y la repercusión en la carga de trabajo del personal de enfermería. Material y Métodos: Se analizaron todos los pacientes en seguimiento de la consulta de enfermedad renal crónica en nuestro centro desde Ene-11 hasta Dic-14 que recibieron carboximaltosa férrica iv. Se registraron sus datos basales y los resultados clínicos y analíticos a los seis meses. Resultados: Fueron identificados 85 pacientes en ese periodo. Edad media de 72±12 años, con un filtrado glomerular estimado basal de 28±11ml/min y a los seis meses de 30±11 (p:n.s). La hemoglobina basal y a los seis meses fueron de 10±4 y 11±3 g/dl respectivamente (p:<0,001). El hematocrito basal y final fueron: 34±4 vs 39±6 % (p:<0,001). Los niveles de ferritina e índice de saturación de transferrina basales vs seis meses fueron respectivamente: 88±97 vs 308±327 ng/ml (p:<0,001) y 11,2±6 vs 22,3±11 (p:<0,001). Dado que el tiempo medio de administración de cualquier formulación de hierro endovenoso es de 30 minutos, la estimación en base al número de administraciones es de un ahorro de 85 y 170 horas en estos 4 años si se compara con formulaciones que requieren de tres a cinco sesiones respectivamente. A su vez el número de punciones se ha reducido, sin observarse complicaciones asociadas. Conclusiones: La carboximaltosa férrica es segura y eficaz mostrando una recuperación de los niveles de hemoglobina y de los depósitos de hierro. Su facilidad de administración ha permitido ahorros sustanciales de tiempo. Esto junto a sus escasos efectos secundarios la hacen idónea para la administración ambulatoria (AU)

Ferric carboxymaltose is a safe and easy dosage of intravenous iron formulation; it can be administered intravenously up to 1 gram in a single session and allows time savings of patients and nursing. We present the results of his administration in a unit of chronic kidney disease, analyzing the results and the impact on the workload of the nursing staff. Materials and methods: All patients followed in the chronic kidney disease unit at our center from January 2011 to December 2014 and who received intravenous iron carboxymaltose were analyzed. Their baseline data and clinical and laboratory results at six months were recorded. Results: 85 patients were identified during this period. Mean age of 72 ± 12 years, with a baseline estimated glomerular filtration rate of 28 ± 11 ml / min and at six months of 30 ± 11 (p >0.05). Baseline and at six months hemoglobin levels were 10 ± 4 and 11 ± 3 g / dl, respectively (p <0.001). The basal and final hematocrit were: 34 ± 4 vs 39 ± 6% (p <0.001). Baseline ferritin levels and transferrin saturation index versus levels at six months were respectively: 88 ± 97 vs 308 ± 327 ng / ml (p <0.001) and 11.2 ± 6 vs 11 ± 22.3 (p <0.001 ). Since the average administration time by any formulation of intravenous iron is 30 minutes, the estimate based on the number of administrations is a saving of 85 and 170 hours on these four years when compared with formulations that require three to five respectively sessions. In turn, the number of punctures has been reduced without associated complications observed. Conclusion: Carboxymaltose iron is safe and effective showing a recovery of hemoglobin levels and iron deposits. Its ease of administration has allowed substantial time savings. This, together with its few side effects makes it ideal for outpatient administration (AU)

Diferencias en las fuerzas de reacción del suelo entre zapatillas de carrera con dos tipos de drop / Differences in ground reaction forces between running shoes with two types of drop

Antecedentes: En las zapatillas de correr, el drop hace referencia a la diferencia entre el grosor de la suela del talón y el grosor de la suela del antepié y dedos. El drop se clasifica en tres tipos según la medición. Cada uno tiene características propias que afectan a la consecución del ciclo de la carrera. Se conoce poco el efecto del drop sobre la cinética, Por eso el objetivo del estudio fue comparar las fuerzas de reacción con dos tipos de drop. Material y métodos: Se realizó un estudio a 14 sujetos varones que corrían al menos 4 horas a la semana y que debían aportar dos pares de zapatillas de correr, un par de rodaje rápido y otro par de rodaje largo. Se midieron las fuerzas de reacción del suelo (velocidad de carrera, tiempo de apoyo y fuerzas de frenado, propulsión, despegue y oscilación), con plataforma de fuerzas SVE/IBV. Se recogieron los datos a cada sujeto y También se procedió a determinar el drop de cada par de zapatillas. Resultados: En el tiempo de apoyo en ambos pies, entre los drops máximo y mínimo tanto hubo una diferencia de en el pie derecho como en el pie izquierdo hubo diferencias signicativas (p = 0,001 y p = 0,010, indicando que el tiempo se reducía con el uso de un drop menor. Por esto hubo correlación positiva en los dos drops, entre el tiempo de apoyo y velocidad del paso . (r= - 0717, p = 0.004) Conclusiones: En conclusión pudimos decir que Las zapatillas con menor drop influyen en la cinética de la carrera, acortando el tiempo de apoyo de la zapatilla con el suelo. Sin embargo, ni las características antropométricas, ni llevar diferente drop en las zapatillas in_uyó en las fuerzas de reacción del suelo (AU)

Background: In running shoes, drop is referred to the difference between the thickness of sole of the heel and thickness of sole of the forefoot and toes. The drop is classified into three types according to the measurement. Every drop has its own characteristics that affect the realization of race cycle. Little is known the effect of drop on the kinetics, for this reason the objective of the study was to compare the forces of reaction with two types of drop. Material and methods: We conducted a study in 14 male subjects who ran on at least 4 hours a week and which should bring two pairs of running shoes, a pair of fast taxiing and another pair of long running. The ground reaction forces were measured (running speed, contact time, and braking, propulsion, take off and oscillation forces), with SVE/IBV force platform. We collected the data to each subject and also proceeded to determine the drop of each pair of shoes. Results: In the time of support in both feet, between the drops of maximum and minimum both in the right foot and left foot there were significant differences (p = 0.001 and p = 0.010), indicating that the time was reduced with the use of one smaller drop. For this reason there was positive correlation in two drops, between the time of support and the step speed. (r = -0.717, p = 0.004). Conclusions: We conclude that with lower drop shoes influence the kinetics of the race, shortening the time of the shoe with the ground support. However, neither features anthropometric, nor carry different drop in running shoes influenced the ground reaction forces (AU)

Relación de la postura del pie con las lesiones más frecuentes en atletas. Un estudio piloto / Relationship of the foot posture with the most frequent injuries in athletes. A pilot study

Motivo y objetivos: Diversas investigaciones han establecido que las distintas patologías de la extremidad inferior pueden venir provocadas por la postura del pie, sin embargo, no está claro qué tipo de pie es propenso a padecer lesiones traumáticas o por sobrecarga. Por ello, el objetivo de nuestro estudio ha sido establecer si la postura del pie está relacionada con la aparición de lesiones en corredores populares, tanto traumáticas como por sobrecarga. Material y método: Se diseñó un estudio prospectivo y transversal. La muestra se compuso de 40 corredores (29 hombres y 11 mujeres), con una edad media de 35 ± 9 años. Se preguntó a los atletas por sus hábitos atléticos, tipo de calzado, lesiones traumáticas y por si hubieran padecido sobrecarga. Se midieron los 6 criterios del FPI (FootPostureIndex), obteniendo la puntuación final y el grupo al que pertenecen. Se realizaron tablas de contingencia y prueba de chi-cuadrado para valorar las diferencias por grupo. Resultados: 23 corredores presentaron el pie derecho neutro (57,5%), mientras que en el izquierdo fueron 24 (60%.) Los pies pronados representaron entre el 20-25%. Sólo un pie izquierdo presentó una postura altamente supinada. Los pies pronados presentaron una mayor prevalencia de fascitis plantar en pie derecho (p=0.048) e izquierdo (p=0.015). En el pie izquierdo los pies pronados también presentaron síndrome de la cintilla iliotibal. Las lesiones traumáticas no se relacionaron con ningún tipo de pie. Conclusiones: La mitad de los corredores habían padecido fascitis plantar en algún momento de su vida deportiva relacionada con los pies pronados. Esto puede ser debido a que la disminución de la altura del arco medial provoca una distensión de los tejidos plantares, produciendo la inflamación o desgarro de la fascia

Background and objective: Some researches had established that lower limb diseases might be related with foot posture. However, it´s still unclear which group of feet is related to traumatic or overuse injuries. So, the aim of this study was to establish if any foot posture in recreational runners is related with appearance of injuries, either traumatic or for overuse. Material and methods: A prospective and cross-sectional study was designed. The sample consisted in 40 runners (29 man, and 11 women), with a mean age of 35 ± 9 years. Runners were asked about athletic habits, kind of sports shoes and traumatic and overuse injuries suff ered. 6 individual criteria of Foot Posture Index were evaluated, obtaining a fi nal score and classifi ed in a group. Contingence tables and chi-squared test were made to asses’ diff erences by group. Results: 23 runners presented rigth foot neutral (57,5%), while in left foot was 24 (60%.) Pronated feet represented between 20-25%. Only one left foot presented a highly supinated posture. Pronated feet presented more prevalence of plantar fascitis in right (p=0.048) and left (p=0.015) foot. In left foot, presented feet presented ilio-tibial syndrome. Traumatic injuries were not related with any group of feet. Conclusions: Half runners of the sample suff ered plantar fascitis in a moment of their athletic career, being related with the pronated feet. This might be due to the lower height of the medial longitudinal arch that distends plantar tissues and making the inflammation or tear of the plantar fascia

Taller lúdico de prevención de violencia contra la mujer / Leisure workshop for the prevention of domestic violence against women

Según la Organización Mundial de la Salud, la violencia contra la mujer es un problema de salud pública. Este artículo describe una intervención preventiva dirigida a familias con hijos en edad escolar y cuyos objetivos eran promover la autoestima, presentar modelos de familia basados en la igualdad y desmontar roles de género tradicionales. Se expusieron en el centro de salud paneles de sensibilización sobre el tema. Paralelamente se captaron los participantes: siete niños, nueve niñas, 13 madres, 10 padres, un padrino. Contenidos: dinámica de grupo: el árbol de la autoestima; cuentacuentos: "La cenicienta que no quería comer perdices"; títeres: "No somos de trapo";conclusión: el árbol de la autoestima ha crecido. El carácter lúdico del taller garantizó la atención y participación de los asistentes. El árbol de la autoestima está expuesto en el centro de salud. Para una prevención eficaz son necesarias intervenciones que integren a toda la familia, escenario del problema (AU)

According to the World Health Organization, violence against women is a public health problem. This article describes a preventive intervention aimed at families with children of school age, the aims of which were to promote self-esteem, present family models based on equality and undo traditional gender roles. Awareness panels on the issue were presented at the health center. Participants were recruited simultaneously: seven boys, nine girls, 13mothers, 10 fathers, a tutor. Contents: group dynamics: the self-esteem tree; storytelling: "Cinderella did not want to eat partridges";puppets: "We are not rag dolls"; conclusion: the tree of self-esteem has grown. The leisure nature of the workshop ensured the attention and participation from the audience. The self-esteem tree is exhibited in the health center. For effective prevention, interventions that integrate the whole family, the scene of the problem, are required (AU)

Ketoconazole inhibits the growth and development of Ichthyophonus sp. (Mesomycetozoa) in vitro.

We determined the in vitro effect of the azol-derivative antifungal ketoconazole (KZ) on the morphology, growth, and development of teleost fish parasite Ichthyophonus sp. The KZ was delivered to culture medium using liposomes (L) or a lipid emulsion (E) at five different doses (i.e. 5, 50, 100, 200, and 400 microg/ml) for both L and E formulations. Controls consisted of Eagle's minimum essential medium (MEM) supplemented with 10% foetal bovine serum (MEM-10) alone (C-MEM) or containing amounts of L or E equivalent to those used in the KZ100 and KZ400 treatments (i.e. 100L, 400L, 100E, and 400E, respectively). Morphological alterations, such as a decrease in the number of dividing spores and nuclei, and condensation or even destruction of the cytoplasm, were observed using light and electron microscopy in the MEM-cultured organisms receiving KZ formulations, especially with KZ400L preparations, at both 7- and 14-d postinoculation. The KZ treatments also demonstrated a statistically significant inhibition of Ichthyophonus growth in MEM. These treatments also had an inhibitory effect on subsequent Ichthyophonus germination in Earle's fish saline agar (EFSA) medium, which was more evident for L formulations when the organism was treated for 7 d and for E formulations at 14 d. Our results endorse the potential use of KZ for the treatment for ichthyophonosis and provide support to proceed to in vivo assays.

[Aggregation of cases of legionella pneumonia in workers related to the ceramic industry in Castellon, Spain, 2006]. / Agregación de casos de neumonía por Legionella en trabajadores relacionados con la industria de la cerámica en Castellón en 2006.

BACKGROUND: Cases of legionellosis sometimes arise in the form of aggregations which are difficult to interpret. This study provides an analysis of these groupings having arisen one summer in Castellon. METHODS: Microbiological, clinical and epidemiological field methods were employed. RESULTS: Within a few days, there were five (5) cases of legionella pneumonia in workers related to various ceramic industries within an area where a large number of these plants are located. Two constituted a minor outbreak. By means of molecular biology techniques performed on the strains, the common origins of three of the cases were ruled out. CONCLUSIONS: It is debated whether this episode of an outbreak having arisen within the context of a broader-ranging cluster of cases of a multi-focal origin was a chance event or whether it was the manifestation of a risk related to this industrial activity which might repeat itself.

Agregación de casos de neumonía por Legionella en trabajadores relacionados con la industria de la cerámica en Castellón en 2006 / Aggregation of caes of Legionalla pneumonia in workers related to the ceramic industry in Castellon, Spain, 2006

Fundamento. Los casos de la legionelosis en ocasiones se presentan en forma de agregaciones que son difíciles de interpretar. Analizamos aquí una de estas agrupaciones ocurrida durante un verano en Castellón. Métodos. Se aplicaron métodos microbiologicos, clínicos y de epidemiología de campo. Resultados. En pocos días hubo 5 casos de neumonía por Legionella en trabajadores relacionados con varias industrias de la cerámica, en un área donde existe una alta concentración de estas fábricas. Dos de ellos, constituyeron un pequeño brote. Mediante técnicas de biología molecular de las cepas se descartó el origen común de tres de los casos. Conclusiones. Se discute si este episodio de un brote surgido en el contexto de un cluster más amplio de casos de origen multifocal fue un hecho casual o fue la expresión de un riesgo relacionado con esa actividad industrial que pudiera repetirse (AU)

Background. Cases of legionellosis sometimes arise in the form of aggregations which are difficult to interpret. This study provides an analysis of these groupings having arisen one summer in Castellon. Methods. Microbiological, clinical and epidemiological field methods were employed. Results. Within a few days, there were five (5) cases of legionella pneumonia in workers related to various ceramic industries within an area where a large number of these plants are located. Two constituted a minor outbreak. By means of molecular biology techniques performed on the strains, the common origins of three of the cases were ruled out. Conclusions. It is debated whether this episode of an outbreak having arisen within the context of a broader-ranging cluster of cases of a multi-focal origin was a chance event or whether it was the manifestation of a risk related to this industrial activity which might repeat itself (AU)

Sobre los informes de asistencia de urgencias / About clinical reports in the emergency setting

No disponible