Exploring Disparities in Self-Reported Mental Health Symptoms Across Professional Categories in Spain's Emergency Medical Services: A Nationwide Cross-Sectional Study.

OBJECTIVE: This study aimed to analyze stress, anxiety, depression, and self-efficacy levels among Spanish out-of-hospital emergency medical professionals from February 1, 2021, to April 30, 2021. METHODS: A nationwide survey was completed by 1666 Emergency Medical Services (EMS) workers. The Depression, Anxiety, and Stress Scale (DASS-21) and the General Self-Efficacy Scale (GSE) were used. Data analysis used chi-squared, análisis of variance (ANOVA), and logistic regressions. RESULTS: The sample comprised 833 (50%) men, with an average age of 44.3 ± 9.9 y (range: 19-67 y). Occupational distribution included 453 (27.2%) physicians, 474 (28.4%) nurses, and 739 (44.4%) emergency medical technicians (EMTs). EMTs exhibited higher odds of severe or extremely severe depression compared with physicians (odds ratio [OR]: 1.569; 95% confidenceinterval [95% CI]: 1.213-2.030) and nurses (OR: 1.561; 95% CI: 1.211-2.012). EMTs also displayed higher probabilities of severe or extremely severe anxiety compared with nurses (OR: 1.944; 95% CI: 1.529-2.701). Furthermore, EMTs demonstrated elevated probabilities of severe or extremely severe stress compared with physicians (OR: 1.387; 95% CI: 1.088-1.770). However, no significant differences were found in self-efficacy, with a median value of 73 [20]. CONCLUSIONS: Out-of-hospital EMS workers experienced mental health challenges, showing varying levels of depression, stress, and anxiety across different occupational groups. EMTs were particularly affected.

Influence of the Cumulative Incidence of COVID-19 Cases on the Mental Health of the Spanish Out-of-Hospital Professionals.

This study aimed to analyze the psychological affectation of health professionals (HPs) of Spanish Emergency Medical Services (EMSs) according to the cumulative incidence (CI) of COVID-19 cases in the regions in which they worked. A cross-sectional descriptive study was designed, including all HPs working in any EMS of the Spanish geography between 1 February 2021 and 30 April 2021. Their level of stress, anxiety and depression (DASS-21) and the perception of self-efficacy (G-SES) were the study's main results. A 2-factor analysis of covariance was used to determine if the CI regions of COVID-19 cases determined the psychological impact on each of the studied variables. A total of 1710 HPs were included. A third presented psychological impairment classified as severe. The interaction of CI regions with the studied variables did not influence their levels of stress, anxiety, depression or self-efficacy. Women, younger HPs or those with less EMS work experience, emergency medical technicians (EMT), workers who had to modify their working conditions or those who lived with minors or dependents suffered a greater impact from the COVID-19 pandemic in certain regions. These HPs have shown high levels of stress, anxiety, depression and medium levels of self-efficacy, with similar data in the different geographical areas. Psychological support is essential to mitigate their suffering and teach them to react to adverse events.

Intratissue Percutaneous Electrolysis vs Corticosteroid Infiltration for the Treatment of Plantar Fasciosis.

BACKGROUND: Corticosteroid infiltration (CI) is commonly used for treatment of plantar fasciosis. In recent years, however, interest has grown in the use of intratissue percutaneous electrolysis (EPI) for the treatment of tendinopathies. The aim of our study was to compare the effectiveness of the above techniques in the treatment of plantar fasciosis. METHODS: The results achieved over a period of 1 year following the use of these techniques to treat plantar fasciosis were examined. There were 64 patients; 32 of whom were treated with ultrasound-guided EPI and 32 with ultrasound-guided CI. A clinical examination was performed and ultrasound taken before treatment and at 3, 6, and 12 months. Clinical assessments were made using a visual analog scale (VAS) to record pain and the Foot and Ankle Disability Index (FADI) to evaluate function. Ultrasound was used to determine the thickness of the plantar fascia. RESULTS: Both the ultrasound-guided EPI and CI techniques were associated with significant clinical and echographic improvements at 12 months post-treatment ( P < .001). CONCLUSION: Both techniques were effective in the treatment of PF, providing excellent VAS pain and FADI results at 12 months. However, CI required fewer patient visits and appeared to provide somewhat better VAS and FADI results. LEVEL OF EVIDENCE: Level III, retrospective comparative study.

Estudio comparativo entre deportes simétricos y asimétricos mediante análisis estructural estático en deportistas adolescentes / Comparative study between symmetrical and asymmetrical sports by static structural analysis in adolescent athletes

En los exámenes médicos preparticipación deportiva, el análisis de las estructuras anatómicas que no están directamente relacionadas con el deporte en cuestión, suele ser más superficial. Un examen más detallado del aparato locomotor podría revelar la existencia de ciertas anomalías que, en ocasiones pueden pasar desapercibidas. El objetivo de este estudio es describir la prevalencia de trastornos estructurales del aparato locomotor en una población de deportistas adolescentes de élite de la Comunidad de Madrid. Establecer la relación de alteraciones con la práctica de deportes simétricos o asimétricos. Estudio transversal descriptivo. Nivel de evidencia II-III. Nuestra población de estudio incluye deportistas pertenecientes al plan de tecnificación de la Comunidad de Madrid: 102 deportistas, 66 hombres y 36 mujeres con edades comprendidas entre 12 y 19 años. Un grupo control está compuesto por deportistas de natación, deporte considerado simétrico y el segundo grupo por deportistas practicantes de deportes considerados asimétricos: esgrima y bádminton. Los deportistas fueron examinados siguiendo un método cegado por tres diferentes especialistas que utilizaron el mismo protocolo. Se ha empleado el contraste de hipótesis para variables cualitativas, con un nivel de confianza del 95% (p<0,05). Noventa y seis deportistas (94,1%) presentaron algún tipo de alteración estructural y /o postural en los exámenes médicos preparticipación deportiva. No encontramos correlación significativa (p<0,05) ) entre los diferentes deportes en las alteraciones en la columna vertebral, las rodillas, las extremidades y la huella plantar, independientemente fueran simétricos o asimétricos (p<0,05). Conclusiones: Nuestro estudio muestra una alta prevalencia de variaciones estructurales en los adolescentes que practican deporte de alto nivel. No encontramos relación entre practicar un deporte asimétrico y la prevalencia de escoliosis u otra alteración músculo-esquelética

In pre-participative sports medical examinations, the analysis of the anatomical structures that are not directly related to the sport in question, is usually more superficial. A more detailed assessment of the locomotive system may reveal the existence of certain anomalies, which may occasionally go unnoticed. The aim of this study is to describe the prevalence of structural disorders of the locomotive system among elite-level athletes from the Community of Madrid. To establish the relationship between alterations and practising symmetrical or asymmetrical sports. Descriptive cross-sectional study Level of evidence II-III Our study sample includes athletes that are members of the Community of Madrid Sports Technification Plan. 102 athletes, 66 males and 36 females aged between 12 and 19 years. One control group comprises swimming athletes, a sport considered to be symmetrical, and the second group comprises athletes practising sports considered to be asymmetrical: fencing and badminton. The athletes were examined following a blind method by three different specialists using the same protocol. Hypothesis contrasting has been used for qualitative variables, with a 95% confidence level (p<0.05). Ninety-six athletes (94.1%) displayed some kind of structural and/or postural alteration in the pre-participative sports medical examinations. No significant correlation was found (p<0.05) between the different sports on alterations to the spine, knees, extremities and footprint, regardless of whether they were symmetrical or asymmetrical (p<0.05). Conclusions: Our study revealed a high prevalence of structural variation in high-level adolescent athletes. No relationship was found between practising an asymmetrical sport and the prevalence of scoliosis or other muscular-skeletal alterations

Lupus eritomatoso sistémico. Embarazo y corea / Systemic lupus erythematosus. Pregnancy and chorea

Presenta un caso de corea en una mujer de 26 años y raza blanca con lupus eritematoso sistémico en el primer trimestre del embarazo. Se hace una revisión de la corea en el transcuso del embarazo y de los casos reportados en la literatura asociado al LES. La eficaz respuesta a la metilprednisona aplicada a esta paciente no nos aclara la patogénesis pero nos hace considerarla una pauta a tener en cuenta en relación con el tratamiento (AU)

Lupus eritematoso sistémico: embarazo y corea / s. t

Se presenta un caso de corea en una mujer de 26 años y raza blanca con lupus eritematoso sistémico en el primer trimestre del embarazo. Se hace una revisión de la corea en el transcurso del embarazo y de los casos reportados en la literatura asociado al LES. La eficaz respuesta a la metilprednisolona aplicada a esta paciente no nos aclara la patogénesis pero nos hace considerarla una pauta a tener en cuenta en relación con el tratamiento(AU)