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  1. Article: The environmental awareness of nurses as environmentally sustainable health care leaders: a mixed method analysis.

    Luque-Alcaraz, Olga María / Aparicio-Martínez, Pilar / Gomera, Antonio / Vaquero-Abellán, Manuel

    BMC nursing

    2024  Volume 23, Issue 1, Page(s) 229

    Abstract: Background: People worldwide are concerned with the possibility of climate change, microplastics, air pollution, and extreme weather affecting human health. Countries are implementing measures to reduce environmental impacts. Nurses play a vital role, ... ...

    Abstract Background: People worldwide are concerned with the possibility of climate change, microplastics, air pollution, and extreme weather affecting human health. Countries are implementing measures to reduce environmental impacts. Nurses play a vital role, primarily through Green Teams, in the process of promoting sustainable practices and minimizing the environmental footprint of health care facilities. Despite existing knowledge on this topic, assessing nurses' environmental awareness and behavior, including the barriers they face, is crucial with regard to improving sustainable health care practices.
    Aim: To analyze the environmental awareness and behavior of nurses, especially nurse leaders, as members of the Green Team and to identify areas for improvement with regard to the creation of a sustainable environment.
    Methods: A sequential mixed-method study was conducted to investigate Spanish nurses. The study utilized an online survey and interviews, including participant observation. An online survey was administered to collect quantitative data regarding environmental awareness and behavior. Qualitative interviews were conducted with environmental nurses in specific regions, with a focus on Andalusia, Spain.
    Results: Most of the surveyed nurses (N = 314) exhibited moderate environmental awareness (70.4%), but their environmental behavior and activities in the workplace were limited (52.23% of participants rarely performed relevant actions, and 35.03% indicated that doing so was difficult). Nurses who exhibited higher levels of environmental awareness were more likely to engage in sustainable behaviors such as waste reduction, energy conservation, and environmentally conscious purchasing decisions (p < 0.05). Additionally, the adjusted model indicated that nurses' environmental behavior and activities in the workplace depend on the frequency of their environmental behaviors outside work as well as their sustainable knowledge (p < 0.01). The results of the qualitative study (N = 10) highlighted certain limitations in their daily practices related to environmental sustainability, including a lack of time, a lack of bins and the pandemic. Additionally, sustainable environmental behavior on the part of nursing leadership and the Green Team must be improved.
    Conclusions: This study revealed that most nurses have adequate knowledge, attitudes, and behaviors related to environmental sustainability both inside and outside the workplace. Limitations were associated with their knowledge and behaviors outside of work. This study also highlighted the barriers and difficulties that nurses face in their attempts to engage in adequate environmental behaviors in the workplace. Based on these findings, interventions led by nurses and the Green Team should be developed to promote sustainable behaviors among nurses and address the barriers and limitations identified in this research.
    Language English
    Publishing date 2024-04-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2091496-9
    ISSN 1472-6955
    ISSN 1472-6955
    DOI 10.1186/s12912-024-01895-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The assessment of natural human skin tension orientation and its variation according to age for two body areas: Forearm and thigh.

    Ayadh, M / Guillermin, A / Abellan, M-A / Bigouret, A / Zahouani, H

    Journal of the mechanical behavior of biomedical materials

    2023  Volume 141, Page(s) 105798

    Abstract: Human skin has a complex multilayer structure consisting of non-homogeneous, non-linear, viscoelastic and anisotropic materials subjected to in vivo natural pre-tension. This natural tension stems from networks of collagen and elastin fibers. The 3D ... ...

    Abstract Human skin has a complex multilayer structure consisting of non-homogeneous, non-linear, viscoelastic and anisotropic materials subjected to in vivo natural pre-tension. This natural tension stems from networks of collagen and elastin fibers. The 3D organization of the collagen and elastin fibers underpins the multidirectional natural tensions in the skin volume while the state of the networks formed influences the surface topography of the skin. This topography depends on the area of the body and on the age of the person. Experiments reported in the literature have been performed ex vivo or on cadavers. By contrast, this work proposes the characterization of the anisotropic natural tension of the human skin in vivo. Experimental tests were performed on the forearms and thighs of 42 female volunteers representing two age groups [20 - 30] and [45-55] years old. Non-contact impact tests and skin-folding tests were conducted using devices developed at the LTDS (Lyon, France). The impact test generated a Rayleigh wave that spread in the skin. The speed of this wave was measured in 7 directions to study the anisotropy of the skin tension. The image of the skin relief at rest and during the skin folding test was reconstructed by optical confocal microscopy and provided the density of the skin lines printed on the outer surface of the skin. Skin folding test enables the clinician's manual procedure to be instrumented to identify tension lines i.e., Langer lines, for better healing during a surgical procedure. The main directions of natural skin tension deduced from the measured wave speed and the densities of skin lines were [40°-60°] for the forearm and [0°-20°] for the thigh, considering that the longitudinal axis of the body is situated at 90° and the transversal axis at 0°. This method shows the remarkable effect of age and body area on the mechanical behavior of human skin in vivo. The elastic properties and natural tension of the skin decrease with age. This decrease is greater in the directions orthogonal to the skin's tension lines, leading to the accentuation of the anisotropic behavior of the cutaneous tissue. The main direction of skin tension is highly dependent on the area of the body and is directed towards a preferred direction which corresponds to the main direction of skin tension.
    MeSH term(s) Humans ; Female ; Middle Aged ; Forearm ; Thigh ; Elastin ; Skin ; Collagen ; Anisotropy ; Stress, Mechanical
    Chemical Substances Elastin (9007-58-3) ; Collagen (9007-34-5)
    Language English
    Publishing date 2023-03-24
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2378381-3
    ISSN 1878-0180 ; 1751-6161
    ISSN (online) 1878-0180
    ISSN 1751-6161
    DOI 10.1016/j.jmbbm.2023.105798
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Multiple system atrophy: Clinical, evolutive and histopathological characteristics of a series of cases.

    Carmona-Abellan, M / Del Pino, R / Murueta-Goyena, A / Acera, M / Tijero, B / Berganzo, K / Gabilondo, I / Gómez-Esteban, J C

    Neurologia

    2023  Volume 38, Issue 9, Page(s) 609–616

    Abstract: Background and objective: Multiple system atrophy is a rare and fatal neurodegenerative disorder, characterized by autonomic dysfunction in association with either parkinsonism or cerebellar signs. The pathologic hallmark is the presence of alpha- ... ...

    Abstract Background and objective: Multiple system atrophy is a rare and fatal neurodegenerative disorder, characterized by autonomic dysfunction in association with either parkinsonism or cerebellar signs. The pathologic hallmark is the presence of alpha-synuclein aggregates in oligodendrocytes, forming glial cytoplasmic inclusions. Clinically, it may be difficult to distinguish form other parkinsonisms or ataxias, particularly in the early stages of the disease. In this case series we aim to describe in detail the features of MSA patients.
    Material and methods: Unified MSA Rating Scale (UMSARS) score, structural and functional imaging and cardiovascular autonomic testing, are summarized since early stages of the disease.
    Results: UMSARS proved to be useful to perform a follow-up being longitudinal examination essential to stratify risk of poor outcome. Neuropathological diagnosis showed an overlap between parkinsonian and cerebellar subtypes, with some peculiarities that could help to distinguish from other subtypes.
    Conclusion: A better description of MSA features with standardized test confirmed by means of neuropathological studies could help to increase sensitivity.
    MeSH term(s) Humans ; Multiple System Atrophy/diagnosis ; Multiple System Atrophy/pathology ; Parkinsonian Disorders ; Autonomic Nervous System Diseases ; Cerebellum/diagnostic imaging ; Cerebellum/pathology ; Ataxia
    Language English
    Publishing date 2023-11-23
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2654369-2
    ISSN 2173-5808 ; 2173-5808
    ISSN (online) 2173-5808
    ISSN 2173-5808
    DOI 10.1016/j.nrleng.2021.04.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Gender differences and health inequality: Evolution of cardiovascular risk in workers.

    Álvarez-Fernández, C / Romero-Saldaña, M / Álvarez-López, C / Molina-Luque, R / Molina-Recio, G / Vaquero-Abellán, M

    Archives of environmental & occupational health

    2021  Volume 76, Issue 7, Page(s) 406–413

    Abstract: The aim was to find out if there are any such differences due to gender in a cohort of workers followed for ten years, comparing their lifestyles and following the evolution of the main cardiovascular risk factors (CVRF) and their impact on ... ...

    Abstract The aim was to find out if there are any such differences due to gender in a cohort of workers followed for ten years, comparing their lifestyles and following the evolution of the main cardiovascular risk factors (CVRF) and their impact on cardiovascular risk. An observational longitudinal study of 698 civil servants workers (186 women and 512 men) of a local government office from Córdoba (Spain), was conducted over the period 2003-2014. We compared the initial and final prevalence of physical activity, smoking, obesity, hypertension, metabolic syndrome and diabetes. Cardiovascular risk was also assessed using the REGICOR (Registre Gironí del Cor) and SCORE (Systematic Coronary Risk Evaluation) equations. There was a greater rise in the prevalence of hypertension and hypercholesterolemia in the cohort in women than in men (94.2% vs. 38% and 92% vs 21.1%), while the reduction in smoking also differed by gender (26.4% vs. 36.5%). It could be that since women present a lower cardiovascular risk profile, they are treated less or less effort is made to keep the risk factors low, resulting in a worse evolution of smoking, hypercholesterolemia and hypertension in women.
    MeSH term(s) Adult ; Cardiovascular Diseases/epidemiology ; Female ; Government Employees/statistics & numerical data ; Health Status Disparities ; Heart Disease Risk Factors ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Occupational Health/statistics & numerical data ; Prevalence ; Sex Factors ; Spain/epidemiology
    Language English
    Publishing date 2021-02-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2245323-4
    ISSN 2154-4700 ; 1933-8244 ; 0003-9896
    ISSN (online) 2154-4700
    ISSN 1933-8244 ; 0003-9896
    DOI 10.1080/19338244.2021.1891017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Validation of the Spanish Version of the Questionnaire on Environmental Awareness in Nursing (NEAT).

    Luque-Alcaraz, Olga María / Gomera, Antonio / Ruíz, África / Aparicio-Martinez, Pilar / Vaquero-Abellan, Manuel

    Healthcare (Basel, Switzerland)

    2022  Volume 10, Issue 8

    Abstract: Environmental awareness of the ecological problems caused by this climate crisis and its impact on global health has been growing globally. Nurses are health care agents that usually hurt the environment and contribute to the unsustainability of the care ...

    Abstract Environmental awareness of the ecological problems caused by this climate crisis and its impact on global health has been growing globally. Nurses are health care agents that usually hurt the environment and contribute to the unsustainability of the care system. Such behavior is perpetuated without the nurses’ awareness and is even magnified by the current pandemic, jeopardizing the health systems and the Sustainable Development Goals. However, there is no Spanish version of any survey that measures the awareness of these agents, only the Nurses Environmental Awareness Tool (NEAT) is available. The current research presents a unique investigation based on a mixed method, using the Spanish version of the NEAT, also called NEAT-es. The results of the mixed analysis (N = 376), a cognitive interview, and descriptive analysis indicated perfect consistency (Cronbach’s alpha > 0.80), better than the original. The survey validation achieved higher values and can be used to measure environmental awareness in Spain and Spanish-speaking countries.
    Language English
    Publishing date 2022-07-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare10081420
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Nurses as agents for achieving environmentally sustainable health systems: A bibliometric analysis.

    Luque-Alcaraz, Olga María / Aparicio-Martinez, Pilar / Gomera, Antonio / Vaquero-Abellan, Manuel

    Journal of nursing management

    2022  Volume 30, Issue 8, Page(s) 3900–3908

    Abstract: Aim: To analyse the current scientific knowledge and research lines focused on environmentally sustainable health systems, including the role of nurses.: Background: There seem to be differences between creating interventions focused on ... ...

    Abstract Aim: To analyse the current scientific knowledge and research lines focused on environmentally sustainable health systems, including the role of nurses.
    Background: There seem to be differences between creating interventions focused on environmentally sustainable health systems, including nurses, and the scarcity of research on this topic, framed on the Sustainable Development Goals.
    Methods: A bibliometric analysis was carried out, via three databases (Web of Science, Scopus and Pubmed), and the guideline recommendations were followed to select bibliometric data.
    Results: The search resulted in 159 publications, significantly increasing the trends from 2017 to 2021 (p = .028). The most relevant countries in this area were the United States, the United Kingdom and Sweden. Also, the top articles were from relevant journals, indexed in Journal Citation Report, and the first and the second quartiles linked to the nursing field and citations (p < .001).
    Conclusion: Education is key to achieving environmentally sustainable health systems via institutions and policies.
    Implications for nursing management: There is a lack of experimental data and policies on achieving or maintaining environmentally sustainable health care systems, indicating that nurses have an important role and should be consulted and included in decision-making policies regarding sustainability in the health care systems.
    MeSH term(s) Humans ; Bibliometrics ; Journal Impact Factor ; Nurses ; Nursing ; Sweden ; United States ; Sustainable Growth
    Language English
    Publishing date 2022-09-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 1162321-4
    ISSN 1365-2834 ; 0966-0429
    ISSN (online) 1365-2834
    ISSN 0966-0429
    DOI 10.1111/jonm.13798
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Translation and cross-cultural adaptation of the Neonatal Skin Risk Assessment Scale (NSRAS) to Italian.

    Curcio, Felice / Vaquero-Abellán, Manuel / Zicchi, Maria / Ez Zinabi, Oumaima / Romero-Saldaña, Manuel

    Journal of tissue viability

    2022  Volume 31, Issue 4, Page(s) 693–698

    Abstract: Purpose: The Neonatal Skin Risk Assessment Scale is the only tool exclusively designed for neonatal populations and it is the most recommended for neonatal skin risk assessment. To date, the NSRAS has been validated in different languages, but an ... ...

    Abstract Purpose: The Neonatal Skin Risk Assessment Scale is the only tool exclusively designed for neonatal populations and it is the most recommended for neonatal skin risk assessment. To date, the NSRAS has been validated in different languages, but an Italian version was lacking. Consequently, the purpose of this study was to translate and to provide a cross-cultural adaptation of the NSRAS into Italian.
    Method: The translation and cross-cultural adaptation were conducted following an international instrument translation guideline across five steps: (1)translation, (2)forward translation review, (3)back translation, (4)back-translation review and (5)pre-test. Content validity was measured using the content validity index (CVI), calculating Aiken's coefficient, according to the opinion of an expert group.
    Results: The final version approved by the expert committee was well understood by all nurses who participated in the study and has obtained a good face validity and content validity. Expert evaluation provided a CVI-Total of 0.92 [0.85-0.96], with Aiken V values for each item analyzed ranging between 0.85 and 0.97.
    Conclusion: The i-NSRAS is a clear, simple, relevant, and unambiguous tool. It is also updated to current knowledge on PUs and evaluates the presence of clinical devices as a risk factor in neonatal population.
    Language English
    Publishing date 2022-10-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 1282604-2
    ISSN 0965-206X
    ISSN 0965-206X
    DOI 10.1016/j.jtv.2022.10.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Effectiveness of Multicomponent Interventions and Physical Activity in the Workplace to Reduce Obesity: A Systematic Review and Meta-Analysis.

    Jiménez-Mérida, M Rocío / Vaquero-Abellán, Manuel / Alcaide-Leyva, José M / Cantón-Habas, Vanesa / Raya-Cano, Elena / Romero-Saldaña, Manuel

    Healthcare (Basel, Switzerland)

    2023  Volume 11, Issue 8

    Abstract: Background: Overweight and obesity are public health problems that affects the workplace. This paper aims to analyse the effectiveness of workplace health promotion interventions in reducing Body Mass Index (BMI); Methods: Following PRISMA guidelines, a ...

    Abstract Background: Overweight and obesity are public health problems that affects the workplace. This paper aims to analyse the effectiveness of workplace health promotion interventions in reducing Body Mass Index (BMI); Methods: Following PRISMA guidelines, a systematic review was conducted using PubMed, MEDLINE, and SCOPUS databases. The inverse variance statistical method was used for the meta-analysis with a random effects analysis model and standardised means. The results have been represented by Forest Plots and Funnel Plots graphs; Results: The multicomponent approach had the best results for reducing BMI (-0.14 [-0.24, -0.03], 95% CI;
    Conclusions: The multicomponent approach could be an effective intervention to reduce obesity in the working population. However, workplace health promotion programs must be standardised to conduct quality analyses and highlight their importance to workers' well-being.
    Language English
    Publishing date 2023-04-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare11081160
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Factors Associated with Dietary Patterns in Colombia.

    Meneses-Urrea, Luz Adriana / Vaquero-Abellán, Manuel / Villegas Arenas, Dolly / Benachi Sandoval, Narly / Hernández-Carrillo, Mauricio / Molina-Recio, Guillermo

    Nutrients

    2023  Volume 15, Issue 9

    Abstract: The selection of food depends on various factors such as cultural, social, economic and biological. This paper determines the factors associated with dietary patterns in Colombia. It is an observational, descriptive exploratory study collecting secondary ...

    Abstract The selection of food depends on various factors such as cultural, social, economic and biological. This paper determines the factors associated with dietary patterns in Colombia. It is an observational, descriptive exploratory study collecting secondary data from the National Survey of Nutritional Status of Colombia (ENSIN, 2015) of 16,216 people between 15 and 64 years of age. The variables were the following: area, age range, sex, educational level, high blood pressure arterial hypertension (HTA), diabetes (DM), cancer, wealth quartile and dietary pattern. For the data analysis, logistic regression models were generated for each pattern and OR was used as a measure of association. Of those studied, 74.6% live in urban areas, all were aged between 15 and 49 years and 45.4% were in the first wealth quartile (Q1). There was a greater probability of traditional and conservative dietary patterns in people with diabetes and hypertension. Consumption of the conservative pattern was associated with being a woman, while consumption of the traditional pattern was associated with people in the first and second wealth level. Consumption of grill/beverage was more likely in men. Socio-demographic factors and chronic non-communicable diseases are associated with dietary patterns. This makes it relevant for health professionals to take into account these characteristics for nutritional interventions.
    MeSH term(s) Adolescent ; Adult ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Beverages ; Colombia/epidemiology ; Data Analysis ; Educational Status ; Hypertension/epidemiology
    Language English
    Publishing date 2023-04-26
    Publishing country Switzerland
    Document type Journal Article ; Observational Study
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu15092079
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Metabolic syndrome and transaminases: systematic review and meta-analysis.

    Raya-Cano, Elena / Molina-Luque, Rafael / Vaquero-Abellán, Manuel / Molina-Recio, Guillermo / Jiménez-Mérida, Rocío / Romero-Saldaña, Manuel

    Diabetology & metabolic syndrome

    2023  Volume 15, Issue 1, Page(s) 220

    Abstract: Background: Metabolic syndrome (MetS) is a group of metabolic abnormalities characterised by hypertension, central obesity, dyslipidaemia and dysregulation of blood glucose, associated with the risk of diabetes, cardiovascular disease and overall ... ...

    Abstract Background: Metabolic syndrome (MetS) is a group of metabolic abnormalities characterised by hypertension, central obesity, dyslipidaemia and dysregulation of blood glucose, associated with the risk of diabetes, cardiovascular disease and overall mortality. The presence of elevated liver enzymes may precede the development of MetS, with alterations of the liver being observed that are directly related to metabolic problems. The study aims to provide the best evidence on the association between liver enzymes (ALT, AST, GGT) and MetS by determining the effect size of these biomarkers.
    Methods: A systematic review and meta-analysis of studies indexed in PubMed and Scopus databases were performed. Study quality was assessed using the STROBE tool. The Grade Pro tool was used to evaluate the evidence, and the quantitative synthesis was performed using RevMan (Cochrane Collaboration).
    Results: Seventeen articles comparing liver enzyme concentrations between 76,686 with MetS (MetS+) and 201,855 without MetS (MetS-) subjects were included. The concentration of ALT, AST and GGT in the MetS + subjects was significantly higher than in the control group 7.13 IU/L (CI95% 5.73-8.54; p < 0.00001; I
    Conclusions: The evaluation of the relationship of liver enzymes in the pathophysiological process of MetS could lead to new insights into early diagnosis.
    Language English
    Publishing date 2023-10-30
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2518786-7
    ISSN 1758-5996
    ISSN 1758-5996
    DOI 10.1186/s13098-023-01200-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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