Influencia del teletrabajo en la seroprevalencia de COVID-19 en trabajadores de la administración sanitaria / Teleworking does not influence the prevalence of Covid infection in a cohort of health administration workers without exposure to Covid patients

Debido a la pandemia, el teletrabajo se contempló como opción para continuar el ritmo laboral. Objetivos: Valorar la influencia de la presencialidad laboral en la prevalencia de infección por SARS-CoV-2. Conocer las variables relacionadas con la presencialidad en el trabajo. Material y Métodos: Estudio descriptivo, transversal de prevalencia. Variables: edad, sexo, peso, talla, tabaco, comorbilidades, vacunación gripe, síntomas COVID-19, contacto, modalidad de trabajo. Realización de prueba rápida anticuerpos SARS-CoV-2. Resultados: La prevalencia de los trabajadores se relaciona significativamente con: edad, no fumador, vacuna gripe, síntomas sospechosos, convivencia con enfermos. La presencialidad en el trabajo se ha relacionado significativamente con: sexo y fumador. La seroprevalencia fue superior en trabajadores que no acudieron a su puesto respecto a los que acudieron siempre u ocasionalmente. Conclusiones: El teletrabajo parece no influir en la reducción de la seroprevalencia por Covid-19, luego no hay motivos para pensar que el riesgo de contagio sea distinto en el trabajo que en el domicilio del paciente (AU)

Due to the pandemic, teleworking was considered as an option to continue the work rhythm. Objectives: To assess the influence of presence at work on the prevalence of SARS-CoV-2 infection. Know the variables related to presence at work. Material and Methods: Prospective, descriptive, cross-sectional prevalence study. Variables: age, sex, weight, height, tobacco, comorbidities, flu vaccination, COVID-19 symptoms, contact, work modality. Carrying out rapid SARS-CoV-2 antibody test Results: The prevalence of workers is significantly related to: age, non-smoker, flu vaccine, suspicious symptoms, living with patients. Presence at work has been significantly related to: sex and smoker. The seroprevalence was higher in workers who did not go to their position compared to those who did always or occasionally. Conclusions: Teleworking does not seem to influence the reduction of seroprevalence due to Covid-19. The risk of contagion is lower at work than at the worker's home (AU)

Influencia de la dieta en la prevención primaria del cáncer gástrico en pacientes con infección por Helicobacter Pylori / Influence of diet in primary prevention of gastric cancer in patients infected with Helicobacter Pylori

Objetivo. Revisar la influencia de la dieta en la prevención primaria del cáncer gástrico, en pacientes con infección por Helicobacter pylori. Metodología. Revisión sistemática. Seleccionando «Helicobacter pylori», «diet» y «stomach neoplasms» del vocabulario estructurado DeCS y MeSH. Se consultaron fuentes de bases de datos primarias y secundarias, estableciendo límites. Resultado. La infección por H. pylori y los factores dietéticos pueden actuar de forma sinérgica en el desarrollo de cáncer gástrico, así como algunas prácticas de cocinado. Los factores dietéticos que pueden incrementar el riesgo de cáncer gástrico son el consumo elevado de sal, alimentos salados, grasas saturadas, carnes rojas y procesadas. En cambio, el de frutas y verduras sería un factor protector, en especial el de las del género allium y de la familia de las crucíferas. Conclusiones. Los estilos de vida y hábitos dietéticos pueden influir en el desarrollo de cáncer gástrico, especialmente en pacientes con infección por H. pylori . Disminuir el consumo de alimentos salados, procesados, ahumados o escabechados, carnes rojas y grasas saturadas, evitar tóxicos y tener una dieta rica en frutas y verduras, además de erradicar la bacteria, puede considerarse la estrategia preventiva más efectiva frente al riesgo de desarrollar cáncer gástrico (AU)

Introduction. Helicobacter pylori infection is the main risk factor for developing gastric cancer, with the influence of genetic, toxic and dietary factors. It is the fourth most common cancer and the second most deadly worldwide, so its prevention is important specially focusing on dietary habits, to be approached from the primary care setting. Aim. Evaluate the influence of diet on the primary prevention of gastric cancer in patients with Helicobacter pylori infection. Methods. Systematic review, the keywords «Helicobacter pylori», «diet» and «stomach neoplasms» were previously selected from the DeCS and MeSH structured vocabulary. Sources of primary and secondary databases were consulted, limits were established. Results. H. pylori infection and dietary factors may act synergistically in the development of gastric cancer and some cooking practices. Dietary factors may increase the risk of gastric cancer like the high consumption of salt, salty foods, saturated fat, red and processed meats, while fruits and vegetables may be considered as a protective factor, especially the high consumption of Allium and the cruciferous family. Conclusions. The lifestyle and dietary habits may influence the development of gastric cancer, especially in patients with H. pylori infection. Decreasing consumption of salty, processed, smoked or pickled foods, red meat and saturated fat, avoiding toxins, and carrying out a diet rich in fruits and vegetables, in addition to eradicating the bacteria, can be considered the most effective preventive strategy against the risk of developing gastric cancer (AU)

Evolución del burnout y variables asociadas en los médicos de atención primaria / Evolution of burnout and associated factors in primary care physicians

Objetivo: Analizar la evolución del burnout y elaborar un modelo explicativo. Diseño: Estudio prospectivo de cohorte dinámica. Emplazamiento: Todos los centros de AP de Burgos. Sujetos: Todos los médicos de AP excepto urgencias, pediatría y residentes. Mediciones principales: Cuestionario anónimo autoadministrado: Maslach Burnout Inventory (MBI) y variables relacionadas. Análisis mediante la t de Student, el test de la x2 y regresión logística. Resultados: Respuesta del 47,76% en 2007, inferior a la del 2005.Existieron diferencias significativas entre 2005 y 2007, para los incrementos en el porcentaje de médicos fumadores, formación postgrado, especialidad vía MIR, y los que consideran que la coordinación con enfermería y atención especializada y comunicación institucional son adecuadas. Aumenta la prevalencia de burnout casi un punto con respecto a 2005, disminuye el desgaste máximo; disminuyó el cansancio emocional (CE) y aumentó la realización personal (RP) y despersonalización (DP). Densidad de incidencia de burnout de 1/113,5 médicos de atención primaria por año. La existencia de burnout se asocia a la utilización de medicación crónica e inadecuada coordinación con enfermería y CE además con elevada presión asistencial. Conclusiones: El aumento de la prevalencia hallado es compatible con la idea del burnout como desarrollo dinámico y el modelo teórico descrito. El empleo estable y de calidad es una vía para mitigar indirectamente (favoreciendo la comunicación interna) el desgaste profesional. En el análisis multivariado la variable más determinante en la aparición de burnout es la inadecuada coordinación con enfermería(AU)

Purpose: To analyse the course of burnout and develop an explanatory model. Design: Prospective cohort dynamics. Site: All primary health care centres in Burgos. Subjects: All physicians except medical emergencies, paediatrics and residents. Main measurements: Anonymous self-report questionnaire: Maslach Burnout Inventory (MBI) and related variables. An analysis was performed using the Student-t, X2 test and logistic regression. Results: The response rate was 47.76% in 2007, which was lower than that of 2005. There were significant differences between 2005 and 2007, for increases in the percentage of physicians who smoked, postgraduate training, residency, and those who believe that coordination with nursing and specialist care and institutional communication is appropriate. There was an increase in the prevalence of burnout by almost one point compared with 2005, a decrease in maximum burnout and emotional exhaustion (EC), and an increase in depersonalisation (DP) and personal accomplishment (RP). The incidence density of burnout was 1/113. 5 primary care physicians per year. The existence of burnout is associated with the use of chronic medication and inadequate coordination between nursing and EC, and also with the high workload. Conclusions: The increase in the prevalence found is consistent with the idea of burnout as a dynamic development and the theoretical model described. Stable and quality employment is one way to indirectly mitigate (by encouraging internal communication) professional burnout. In the multivariate analysis, the most critical variable in the onset of burnout is the inadequate coordination with nursing(AU)

[Evolution of burnout and associated factors in primary care physicians]. / Evolución del burnout y variables asociadas en los médicos de atención primaria.

PURPOSE: To analyse the course of burnout and develop an explanatory model. DESIGN: Prospective cohort dynamics. SITE: All primary health care centres in Burgos. SUBJECTS: All physicians except medical emergencies, paediatrics and residents. MAIN MEASUREMENTS: Anonymous self-report questionnaire: Maslach Burnout Inventory (MBI) and related variables. An analysis was performed using the Student-t, X(2) test and logistic regression. RESULTS: The response rate was 47.76% in 2007, which was lower than that of 2005. There were significant differences between 2005 and 2007, for increases in the percentage of physicians who smoked, postgraduate training, residency, and those who believe that coordination with nursing and specialist care and institutional communication is appropriate. There was an increase in the prevalence of burnout by almost one point compared with 2005, a decrease in maximum burnout and emotional exhaustion (EC), and an increase in depersonalisation (DP) and personal accomplishment (RP). The incidence density of burnout was 1/113. 5 primary care physicians per year. The existence of burnout is associated with the use of chronic medication and inadequate coordination between nursing and EC, and also with the high workload. CONCLUSIONS: The increase in the prevalence found is consistent with the idea of burnout as a dynamic development and the theoretical model described. Stable and quality employment is one way to indirectly mitigate (by encouraging internal communication) professional burnout. In the multivariate analysis, the most critical variable in the onset of burnout is the inadequate coordination with nursing.

Dermatitis alérgica de contacto por calzado con dimetilfumarato / Allergic contact dermatitis due to shoes with dimethylfumarate

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Prevalencia de burnout y variables asociadas en los médicos de atención primaria de Burgos / Prevalence of Burnout and linked variables in primary care doctors in Burgos

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