Objective, And Material And Methods: A systematic review and meta-analysis was performed to evaluate the effectiveness of antidepressants in reducing the poor evolution of COVID-19 disease (a composite variable including death, hospitalization and need for mechanical ventilation), and mortality, according the guidelines for Systematic Reviews of Interventions published by the Cochrane library.
Source Of Data: MEDLINE, EMBASE and COCHRANE LIBRARY were consulted up to February 25, 2022. Unpublished studies were searched on clinicaltrials.
Background: Smartphones have become useful tools for medicine, with the use of specific apps making it possible to bring health care closer to inaccessible areas, continuously monitor a patient's pathology at any time and place, promote healthy habits, and ultimately improve patients' quality of life and the efficiency of the health care system. Since 2020, the use of smartphones has reached unprecedented levels. There are more than 350,000 health apps, according to a 2021 IQVIA Institute report, that address, among other things, the management of patient appointments; communication among different services or professionals; the promotion of lifestyle changes related to adopting healthy habits; and the monitoring of different pathologies and chronic conditions, including smoking cessation.
View Article and Find Full Text PDFObjective: The main objective is to transfer to clinical practice a new smoking cessation application ("Vive sin Tabaco" a) in all health centers of the public Basque Health Service.
Design: An implementation study of a smoking cessation program previously validated. After implementation, a retrospective study has been carried out to evaluate its use under normal conditions.
Background: Smoking in one of the most serious public health problems. It is well known that it constitutes a major risk factor for chronic diseases and the leading cause of preventable death worldwide. Due to high prevalence of smokers, new cost-effective strategies seeking to increase smoking cessation rates are needed.
View Article and Find Full Text PDFIntroduction: Tobacco is the leading cause of preventable mortality. The use of mobile phones has grown exponentially, becoming a powerful tool to be used in health care.
Methods: In order to assess the effectiveness of mobile phones to quit smoking, we have carried out a systematic review and meta-analysis of randomized clinical trials evaluating interventions based on mobile applications for smartphones, that were not a smaller version of the same application, against other types of therapy.
Aim: The aim of this study was to assess the effectiveness of a primary care-based group educational intervention about concepts of pain neuroscience for the management of migraine compared to the routine medical care delivered to patients with this condition.
Background: The way pain is understood has been radically changed in recent decades, thanks to developments in the field of neuroscience. Thus, migraine may develop as a result of an exaggerated perception of threat that activates the pain neuromatrix, which might be modifiable, from a learning perspective, by adjusting the beliefs and behaviours that favour the onset of an attack.
Introduction: Among several different instruments developed to compare the complexity of healthcare processes, relative value units (RVUs) are among the most well-known and widely used in hospitals, but despite being a recognized management tool, in our setting, the few studies published have been based on theoretical assumptions. Our objective was to assess the level of complexity of each process in our service and to determine the RVUs generated, in order to relate complexity and costs.
Methods: During 2014, data were retrospectively collected for 840 cancer patients from the Radiation Oncology Department, Araba University Hospital.
Background: Health advice is useful for establishing behavioural changes, but such changes tend not to last. It would therefore be good to identify mechanisms for reinforcing advice and one option is the use of information and communication technologies. Given the limited evidence on the effectiveness of such technologies, we decided to conduct a clinical trial to assess the efficacy of a mobile application (app) for supporting the provision health advice for weight loss.
View Article and Find Full Text PDFNicotine Tob Res
August 2017
Introduction: Smoking remains a major risk factor for chronic diseases. Health advice is considered one of the most cost-effective interventions; however, changes produced by counseling tend not to persist over time, it is necessary to implement enforcement mechanisms.
Methods: Randomized clinical trial to evaluate the effectiveness of a combined program that includes health advice and text messaging to mobile phone (SMSalud®).
Introduction: Chronic vascular ulcers are associated with a high use of resources. Conventional treatment consists of wound cleansing, necrotic tissue debridement, prevention, diagnosis, and, if necessary, treatment of infection and dressing application; although conventional treatment has limited effectiveness with wound healing (around 15-30%).8-11 Platelet-rich plasma, used in various fields of medicine, improves chronic vascular ulcer results, but is more expensive.
View Article and Find Full Text PDFRev Esp Salud Publica
March 2013
Background: Several studies have reported that there is a lack of preventive activities performance in Primary Health Care, however in Vizcaya, the situation is not known, so, we decided determine the percentage of preventive activities carried out on women by primary care physicians which are recorded in the Electronic Health Record (Osabide), and analyze the characteristics which determine differences in registration between regions and physicians.
Methods: We conducted a cross-sectional study involving 425 women aged between 26 and 51 years who were to the general practitioners' consult at least twice, and who were again on April 28, 29 or 30, 2011. We colleted as primary variable the registries of contraceptives practices (group aged between 26 and 51 years), the registries of cervical cytologies during the last five years, as well as the registries of mammograms performed during the two last years, and compared the medical record between men and women practitioners, health regions and between areas with and without centers for women, using the chi-square statistic.