Application of a new municipal management model of home care service in Barcelona: Assessment of workers' labour conditions, health, and well-being.

Background: In 2018, Barcelona City Council implemented a pilot phase of an organisational change in the municipal home care service (HCS) system. Inspired by the Buurtzorg model, the new model promotes the creation of self-managing teams operating in a restricted community setting.

Objective: To assess the pilot phase of the new model, focusing on employees' working and employment conditions as well as on their health and well-being outcomes.

Time poverty, health and health-related behaviours in a Southern European city: a gender issue.

Background: Despite its growing interest, time poverty is a neglected issue in public health analysis and policies. The objectives of this study were: (1) to analyse gender differences in paid, unpaid and total working time; (2) to identify gender differences in the factors related to time poverty; and (3) to examine gender differences in the relationship between time poverty, health and health-related behaviours in the city of Barcelona (Spain).

Methods: Cross-sectional study based on salaried workers aged 16-64 years interviewed in the 2021 Barcelona Health Survey (695 men and 713 women).

miR-146a is a pivotal regulator of neutrophil extracellular trap formation promoting thrombosis.

Neutrophil extracellular traps (NETs) induce a procoagulant response linking inflammation and thrombosis. Low levels of miR-146a, a brake of inflammatory response, are involved in higher risk for cardiovascular events, but the mechanisms explaining how miR-146a exerts its function remain largely undefined. The aim of this study was to explore the impact of miR-146a deficiency in NETosis both, in sterile and non-sterile models in vivo, and to inquire into the underlying mechanism.

Is Being Employed Always Better for Mental Wellbeing Than Being Unemployed? Exploring the Role of Gender and Welfare State Regimes during the Economic Crisis.

The growth of poor jobs related to economic crisis adds to its increase since the mid-1970s as a result of new forms of flexible employment. In Europe, there is no clear evidence on whether working in a poor-quality job is better for mental wellbeing than being unemployed. The objectives of this study were to compare mental wellbeing between the unemployed and those working in jobs with different quality levels and to examine gender and welfare state differences in Europe.

Time-to-positivity, type of culture media and oxidase test performed on positive blood culture vials to predict Pseudomonas aeruginosa in patients with Gram-negative bacilli bacteraemia.

Objective: The aim of this study was to determine the usefulness of oxidase test and time-to-positivity (TTP) in aerobic and anaerobic blood culture vials to detect the presence of Pseudomonas aeruginosa in patients with Gram-negative bacilli (GNB) bacteraemia.

Methods: TTP was recorded for each aerobic and anaerobic blood culture vial of monomicrobial bacteraemia due to GNB. Oxidase test was performed in a pellet of the centrifuged content of the positive blood culture.

Gender differences in the duration of non-work-related sickness absence episodes due to musculoskeletal disorders.

Background: There is wide evidence that women present longer duration of sickness absence (SA) than men. Musculoskeletal disorders are influenced by gender due to the sexual division of work.

Methods: 354 432 episodes of non-work-related SA due to musculoskeletal disorders, which were registered in Catalonia between 2005 and 2008, were selected.

[Can a mobile phone short message increase participation in breast cancer screening programmes?].

Objective: To evaluate the impact of a mobile phone short message on women's uptake in a breast cancer screening programme.

Methods: A total of 703 women from a Basic Health Area of Barcelona, and with a mobile phone number registered, were invited to participate in a breast cancer screening programme between 25 January 2011 and 22 March 2011. The control group (n=470) followed the usual appointment track, and the intervention group (n=233) received, after the first letter of invitation, a mobile phone short message reminder.

Gender inequalities in the association between demands of family and domestic life and health in Spanish workers.

Background: The aim of this study is to analyse gender inequalities in the relationship between family demands and health in working and cohabiting population.

Methods: A total of 9108 men and women aged 25 to 64 years who were employed and cohabiting were selected from the 2006 National Health Survey of Spain. Outcome variables were self-perceived health status, mental health, daily sleeping hours and leisure time sedentarism.

[Secondary cardiovascular prevention after acute coronary syndrome in clinical practice].

Secondary prevention after acute coronary syndromes should be aimed at reducing the risk of further adverse cardiovascular events, thereby improving quality of life, and lengthening survival. Despite compelling evidence from large randomized controlled trials, secondary prevention is not fully implemented in most cases after hospitalization for acute coronary syndrome. The Lazio Region (Italy) has about 5.

Changes in the levels of polymethoxyflavones and flavanones as part of the defense mechanism of Citrus sinensis (cv. Valencia Late) fruits against Phytophthora citrophthora.

Phytophthora citrophthora causes serious losses in Citrus fruits through brown rot lesion. The effect of infection with P. citrophthora on Citrus sinensis (cv.

Increasing resistance against Phytophthora citrophthora in tangelo Nova fruits by modulating polymethoxyflavones levels.

The effect of 6-benzylaminopurine on polymethoxyflavone levels in tangelo Nova fruits and the possible participation of these secondary metabolites in defense mechanisms against Phytophthora citrophthora are studied. The in vitro study of the inhibitory effect of these compounds on fungal growth reveals that nobiletin is the most active agent followed by sinensetin, heptamethoxyflavone, and tangeretin. Treatment with 100 ppm of 6-benzylaminopurine increased the levels of these polymethoxyflavones in this Citrus hybrid and also enhanced the in vivo resistance of the fruit to the fungus by approximately 60%.

[Anesthesia for cesarean delivery in a case of myotonia congenita].

We report the case of a 29-year-old woman with congenital myotony who underwent cesarean section under intradural anesthesia with 0.5% hyperbaric bupivacaine plus fentanyl. We describe the behavior of the anesthetic used as well as the implications this condition has for the anesthesiologist.

[Treatment of left ventricular failure following extracorporeal circulation using ventricular assistance with centrifugal pump].

We report the use of left ventricular assistance with a centrifugal pump in a patient with refractory left ventricular failure after aortic valve replacement. Assistance was maintained during the first 24 hours until the hemodynamic status allowed its withdrawal. The used flows ranged from 1.

[Peroperative management of the orthotopic implant of a Jarvik-7 total cardiac prosthesis].

A 31 years old woman with a terminal phase dilated cardiomyopathy and a ventricular ejection fraction of 0.12 was admitted to our hospital to be included in the cardiac transplantation program. When entering the hospital her condition worsened and she suffered an electromechanical dissociation that needed cardiopulmonary resuscitation.

[Anesthesia in heart transplantation. Experience at the Clínica Puerto de Hierro].

The anaesthetic management of 41 patients who underwent cardiac transplantation during a 40 month period at Clínica Puerta de Hierro is reviewed. The study includes the preoperative assessment, anaesthetic agents used and intraoperative incidences. The anaesthesia was induced with etomidate whereas a high-dose fentanyl, supplemented with diazepam, was the most commonly anaesthetic technique used.

Combined transplantation of heart and liver from two different donors in a patient with familial type IIa hypercholesterolemia.

A 12-year-old child with terminal ischemic heart disease as a result of homozygotous familial type IIa hypercholesterolemia received an orthotopic heart transplant and, 21 days later, an orthotopic liver transplant. Six months after heart transplantation, the patient is asymptomatic and evidences normal liver function and cholesterol levels; there are no signs of heart rejection. To our knowledge, this is the first instance of two-step heart-liver transplantation with organs from different donors.

Induced hypotension and Wolff-Parkinson-White syndrome.

A case is presented of a female patient with Wolff-Parkinson-White Syndrome in whom controlled arterial hypotension was required for the clipping of a posterior communicating artery aneurysm. The anaesthetic management is described, and the authors discuss the use of diverse drugs, based on the data provided by the electrophysiological study.