Type 1 Diabetes Patient Experiences Before and After Transfer from a Paediatric to an Adult Hospital.

Introduction: The management of type 1 diabetes (T1D) is especially complex during adolescence when youths are transferred to adult care centres. The objectives of this qualitative study were to: a) determine the expectations of young T1D patients prior to transfer, b) evaluate the transfer process between the 2 centres, and c) evaluate the therapeutic education and care programme (TECP) in the adult centre from their point of view.

Material And Methods: Opinion sampling of adolescents from 2018-2019 was performed: Phase 1: adolescents with T1D prior to transfer to the adult hospital; Phase 2: adolescents with T1D one or two years after transfer and having undergone TECP.

Pediatric televisits and telephone triage: impact on use of a hospital emergency department.

Objectives: To analyze the characteristics of remote telephone consultations (televisits) and triage of pediatric emergencies attended by the 24-hour emergency service of Catalonia (CatSalut Respon), and to describe the impact of televisits on callers' decisions about whether or not to come to the emergency department and their opinion of the call service.

Material And Methods: Observational cross-sectional study. During the call, cases were classified according the Spanish and Andorran triage system.

Confusion About Professional Autonomy Among Final-year Nursing Students in Spain.

Nursing autonomy is an object of ongoing debate. Knowing how the next generation of nurses conceives of autonomy is essential, given its role in professional satisfaction and retention. The aim of this research was to understand how nursing students at the end of their nursing education view nursing autonomy.

[The Role of School Nurses].

The school comes the second place where children's lives developed. Their ability to learn is closely related to their welfare and health. this paper aimed to define the roles that school nurses can play in the schools to help the children reach their educational goals through keeping them healthy and safe, and on the other hand, it will help us to evaluate the significance of school nurses and find out whether it is needed in the schools or not.

Contradictory views of nursing care among students at the end of their nursing education.

Aim: To understand how nursing students at the end of their nursing education view nursing care.

Background: Although care is understood as the essence of nursing, it is often difficult for nurses to provide care, which demonstrates a contradiction between theory and practice. Moreover, it is unknown to what extent this contradiction is transmitted to future nursing professionals or how they view nursing care and its practice.

Obesity, knee osteoarthritis, and polypathology: factors favoring weight loss in older people.

Aim: We aimed to explore the meaning of obesity in elderly persons with knee osteoarthritis (KO) and to determine the factors that encourage or discourage weight loss.

Background: Various studies have demonstrated that body mass index is related to KO and that weight loss improves symptoms and functional capacity. However, dietary habits are difficult to modify and most education programs are ineffective.

[Experience of fibromyalgia].

Objective: To show the experience of people suffering from fibromyalgia, through ethnography and narrative, and a reflection to raise and question the direction of professional care.

Methodology: Qualitative, and within this focused ethnography, generating information through participant observation and in-depth interviews with two women and a man suffering from fibromyalgia, with analysis emerging from five units of narrative.

Results: Highlight the stress generated in the waiting time to diagnosis and the vital break which means the disease, the difficulty of sharing with family and friends, the conflict with the health system and the limited presence of nurses, the interest to remain active at work and personal life, although tightly constrained by the pain and discomfort, treatment adherence, aid associations representing, and thinking the present and little for the future.

Perceptions of diabetes obtained through drawing in childhood and adolescence.

Objective: To examine whether drawing is useful in the detection of problems of psychosocial adaptation in children and adolescents with type 1 diabetes (T1D) and in improving communication with health professionals.

Methods: We performed an exploratory descriptive study in 199 children and adolescents with T1D aged 4-13 years. The participants were asked to render a drawing on a suggested topic.

[Chronic complications of diabetes mellitus. Recommendations from the American Diabetes Association 2011. Prevention and management].

Diabetes mellitus (DM) is one of the diseases with greater impact public health, not only because of its high prevalence, but, above all, by the consequences of the chronic complications arising from this disease. Hyperglycemia generates damage both in the field of microcirculation and the great vessels causing injury, macroangiopathies and microangiopathies. Macroangiopathies complications are generated from alterations or injury in the great vessels of the arterial to the most important, being from the clinical point of view, ischemic heart disease, disease stroke and peripheral arterial disease.

[Impact of diabetes in children and adolescents].

DM 1 can occur at any age, but its higher incidence seen in under 15 years of age with greater frequency in age preschool and especially prepuberal. It represents about 10 of the total number of forms of DM and is one of chronic disturbances more frequent in children and adolescents. The destruction of the pancreatic cells involves a total deficit of insulin in these patients by requiring treatment with insulin from the time of diagnosis.

[Therapy in diabetes education. Where are we?].

Patients with diabetes mellitus (DM) who receive no education cannot make informed decisions to maintain acceptable metabolic control, increasing the likelihood of complications [1]. Education and prevention of diabetes mellitus (DM) are the central theme of World Diabetes Day during the period 2009/2073. The key messages of this campaign advocating: 1) Know the risks of DM and its warning signs, 2) Know what to do and who to call and 3) Learn how to manage and control.

Living with diabetes: quality of care and quality of life.

Background: The aim of this research was to characterize the experience of living with diabetes mellitus (DM) and identify patients' opinions of the quality of care received and the results of interventions.

Methods: A descriptive, exploratory evaluation study using qualitative methodology was performed. Participants consisted of 40 adult patients diagnosed with DM and followed up in a public hospital in Barcelona, Spain.

[Diabetes mellitus in teenagers].

Diabetes Mellitus during infancy childhood or adolescence does not differ from adult diabetes mellitus in terms of basic principles nor therapeutic treatment methods but the characteristics patients have during those ages signify that diabetes has a special repercussion and becomes harder to treat in patients during those ages.

[Perception among college students of the healthcare law against smoking].

Objective: To understand smoking habits among college students and their opinion about the anti-smoking law.

Method: Cross-sectional descriptive study conducted. Data gathering was carried out through surveys.

Quality of life in simultaneous pancreas-kidney transplant recipients.

Background: Simultaneous pancreas-kidney transplantation (SPK Tx) allows dialysis and insulin therapy to be discontinued and improves the complications of diabetes mellitus type 1 (DM1). This study measure quality of life (QoL) in SPK transplant recipients and determine if there are differences in QoL between these patients and those with DM1 in renal replacement therapy (RRT).

Methods: Short Form Health Survey 36-Item (SF-36) was administered to 69 SPK transplant recipients and 34 patients with DM1 under RRT.

[What is health?].

After reviewing and analyzing different definitions of what health is, the authors designed a transversal descriptive study whose objective was to discover the meaning of health in 13 different community collectives and to identify the socio-cultural factors which determine health. Study subjects were asked to define health with key words. These key words were grouped by category and the authors analyzed the ten most repeated words each collective in this study named.

[Health in its political, economic and social context].

In health, technological, diagnostic and therapeutic changes, the discovery of the human genome, or investigations with stem cells transform the medical practice and make one think that in a more or less distant future, medical theory and practice will be very different than classical medical practice as conceived and carried out in the past. Health and nursing concepts will also undergo modifications in accordance with scientific-technological advances as well as the religious and philosophical conceptions present in each epoch. "When historically reviewing health definitions, a constant appears which consists in projecting on the individual an ideal vision of society that each epoch has held of itself" (Casco, 1996:38).

Alignment of the Kübler-Ross grief cycle phases with the process of adaptation to type 1 diabetes mellitus.

Objective: To understand the process of adaptation to type 1 diabetes mellitus (DM1) and analyze its alignment with the grief cycle phases described by Kübler-Ross.

Subjects And Method: We performed an ethnographic study through in-depth interviews with 20 patients, 10 relatives and 12 health professionals (6 physicians and 6 nurses). For the analysis, the Miles and Huberman qualitative data analysis model was used.

[Population aging].

The author analyses the evolution of world and Spanish populations, the progressive aging of western societies and the increase in social-sanitary necessities which those over 65 years of age present. Once analyzed, the author designs a framework which we should use as health professionals dedicated to provide care to geriatric groups which are increasing in number and who have specific needs.