19 results on '"Nieva, G."'
Search Results
2. Electric field control of the energy gap in ZnO and BaSnO3 films grown on PMN-PT.
- Author
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Bridoux, G., Mogensen, G. A., Nieva, G., Guimpel, J., Ferreyra, J. M., Tolosa, M. R., and Villafuerte, M.
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BAND gaps ,ELECTRIC fields ,ZINC oxide films ,CONDUCTION bands ,SUBSTRATES (Materials science) ,INDUCED polarization - Abstract
ZnO and BaSnO
3 (BSO) thin films grown on Pb(Mg1/3 Nb2/3 )O3 -PbTiO3 (PMN-PT) substrates have been studied using electrical resistance and photoconductivity (PC) spectra measurements under different applied electric fields on the substrate. The behavior of the resistance and the energy gap (EG ) extracted from the PC spectra are modified by the polarization state of the substrate in the case of the ZnO film, while for BSO, these physical parameters depend on the strain imposed by the substrate when a voltage is applied on the PMN-PT. In the latter case, an in-plane tensile (compressive) strain leads to a reduction (increase) in the resistance and the energy gap when an external electric field is applied on the substrate. The behavior of ZnO and BSO can be explained by the different crystalline structure in both films and by the fact that ZnO is also a piezoelectric material. In ZnO, a change in the polarization state of the substrate is associated with an imposed strain and an induced polarization on the film that leads to a modification of the band bending and hence of the energy gap. In the case of BSO, a shift of the impurity and conduction band generates a modification of the energy gap for the different types of strain. [ABSTRACT FROM AUTHOR]- Published
- 2024
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- View/download PDF
3. Effects of aging processes at the surface of the superconductor β−FeSe
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Lanoël, L., primary, Rozas, G., additional, Bruchhausen, A. E., additional, Amigó, M. L., additional, Crivillero, M. V. Ale, additional, Hofer, J. A., additional, Villafuerte, M., additional, Bridoux, G., additional, Bengió, S., additional, and Nieva, G., additional
- Published
- 2022
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4. Interest, Coping Mechanisms, and Learning Achievements of Single Mothers in the Alternative Learning System
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Roleen B. Moleño and Nieva G. Bermudo
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education ,Single mothers ,Psychology ,Developmental psychology - Abstract
This study determined the interests, coping mechanisms and learning achievements of single mothers in Alternative Learning System. The study employed descriptive-correlational research design utilizing four-parts research instrument. There were 115 ALS learners enumerated as respondents of the study. Descriptive statistics and Pearson R correlation analysis were utilized. Many of the single mothers dropped out of school when they were in their grade seven to ten level of education because they experience difficulty in terms of their economic status but they were interested to continue and finish their study in the basic education level. They adjust to stressful events they encounter; struggle with their understanding in the prerequisite and fundamental knowledge and/ or skills in their communication skills in Filipino and English, and in Mathematics and Science. Further, number of siblings is the best predictor common to the achievements of single mothers in Communication Skills in Filipino and English, Expanding One’s World Views, and overall learning achievement but not in the area of Mathematics and Science and Sustainable Use of Resources and Productivity to which the last grade attended by the single mothers is the best predictor. More importantly, the single mothers enrolled in ALS were motivated to continue and finish their study despite the difficulties they experienced. They hurdle all the odd circumstances that distract their academic journey purposive of improving their current well-being. It was recommended mainly that intensive interventions should be implemented to address the factors such as pregnancy and parenthood, boredom, academic challenges, lack of parental support, and money that generally causes the youths to drop from attending school.
- Published
- 2021
5. Smoking cessation interventions in substance use disorders treatment centers of Catalonia: The abandoned addiction
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Nieva, G, Ballbe, M, Cano, M, Carcole, B, Fernandez, T, Martinez, A, Mondon, S, Raich, A, Roig, P, Serra, I, Serrano, J, and Pinet, C
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substance-related disorders ,education ,substance abuse treatment centers ,Smoking cessation ,attitude of health personnel - Abstract
Substance use disorders (SUD) treatment centers are an optimal setting for delivering smoking cessation interventions (SCI). This study aimed to examine the adoption of SCI in SUD treatment centers in Catalonia (Spain) as well as to assess their managers' views on the appropriateness and feasibility of providing SCI. Managers directly in charge of SUD treatment centers (n = 57) answered a 30-item on-line questionnaire. Data was obtained of 50 centers (87.7% response rate). Forty-six per cent of the centers provided some kind of SCI, but only 4.8% of the new patients were treated for smoking cessation. Managers reported that 73.3% of mental health professionals working in SUD centers had not been trained in SCI. Sixty-four per cent of managers agreed that all health professionals should deliver SCI. Those centers offering SCI attended more patients and were more likely to have professionals trained in SCI than those not offering SCI. The implementation of SCI in SUD treatment centers in Catalonia was suboptimal. Continuing education and training should be provided for all health professionals working in SUD centers. Not systematically delivering SCI to patients in treatment for other SUD means missing opportunities to reduce health and economic costs while perpetuating a smoking culture.
- Published
- 2022
6. Interest, Coping Mechanisms, and Learning Achievements of Single Mothers in the Alternative Learning System
- Author
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Bermudo, Nieva G., primary and B. Moleño, Roleen, primary
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- 2021
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7. The role of polarization in the threshold voltage of field effect transistors based on ZnO/MgO
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Figueroa, C. A., primary, Zapata, M. C., additional, Bridoux, G., additional, Ferreyra, J., additional, Patrone, L., additional, Malatto, L., additional, Guimpel, J., additional, Nieva, G., additional, Runco Leal, V., additional, Navarro, C., additional, and Villafuerte, M., additional
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- 2021
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8. Characteristics of resident physicians accessing a specialised mental health service: a retrospective study
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María Dolores Braquehais, Jose Antonio Ramos-Quiroga, Sergi Valero, Germán Ortega, Maria Fernanda Mantilla, Gemma Nieva, Sebastián Vargas-Cáceres, Eugeni Bruguera, Institut Català de la Salut, [Braquehais MD] Integral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain. Grup de Recerca en Psiquiatria, Salut Mental i Addiccions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. CIBERSAM, Barcelona, Spain. [Vargas-Cáceres S] Mental Health, Benito Menni, Adult Mental Health Service, L'Hospitalet de Llobregat, Catalonia, Spain. [Nieva G, Bruguera E] Integral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain. Servei de Psiquiatria, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Mantilla MF] Outpatient Service, Mental Health Service of Gracia, Barcelona, Catalonia, Spain. [Ortega G] Servei de Psiquiatria, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Valero S] Integral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain. ACE Alzheimer Center, Fundacio ACE, Barcelona, Catalonia, Spain. [Ramos-Quiroga JA] Grup de Recerca en Psiquiatria, Salut Mental i Addiccions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. CIBERSAM, Barcelona, Spain. Servei de Psiquiatria, Vall d'Hebron Hospital Universitari, Barcelona, Spain, and Vall d'Hebron Barcelona Hospital Campus
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Mental Health Services ,instalaciones, servicios y personal de asistencia sanitaria::servicios de salud::servicios de salud mental [ATENCIÓN DE SALUD] ,medicine.medical_specialty ,media_common.quotation_subject ,Specialty ,Education::Education, Professional::Education, Graduate::Education, Medical, Graduate::Internship and Residency [ANTHROPOLOGY, EDUCATION, SOCIOLOGY, AND SOCIAL PHENOMENA] ,Mental health service ,Residents (Medicina) ,trastornos mentales::trastornos de ansiedad [PSIQUIATRÍA Y PSICOLOGÍA] ,Physicians ,medicine ,Humans ,Child ,media_common ,Training period ,Retrospective Studies ,Mental Disorders::Anxiety Disorders [PSYCHIATRY AND PSYCHOLOGY] ,Psychiatry ,educación::educación profesional::educación de graduados::educación de graduados en medicina::internado y residencia [ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES] ,business.industry ,Addiction ,Medical record ,Assistència psiquiàtrica ,Internship and Residency ,Trastorns d'ansietat ,Retrospective cohort study ,General Medicine ,Mental health ,Anxiety Disorders ,Mental Health ,Family medicine ,Medicine ,Anxiety ,adult psychiatry ,medicine.symptom ,business ,medical education & training ,Health Care Facilities, Manpower, and Services::Health Services::Mental Health Services [HEALTH CARE] - Abstract
ObjectivesLittle is known about resident physicians being treated at physician health programmes around the world despite the fact that it is a highly demanding training period. This study aims to describe the profiles of resident physicians accessing a specialised mental health service in Spain over a 20-year period and to compare them to consultant-grade physicians.DesignRetrospective observational study.SettingMedical records of the Galatea Care Programme for Sick Physicians.Participants1846 physicians registered at the Barcelona Medical Council-Association and admitted to the programme from January 1998 to December 2018.Primary and secondary outcome measuresNumber of admissions, sociodemographic and clinical variables, including medical specialty, main diagnosis and need of hospitalisation.ResultsResidents accounted for 18.1% (n=335) of the sample and admissions increased over the years. Most residents (n=311; 94.5%) and consultant-grade physicians (n=1391; 92.8%) were self-referred. The most common specialty among residents was family medicine (n=107; 31.9%), followed by internal medicine (n=18; 5.4%), paediatrics (n=14; 4.2%), psychiatry (n=13; 3.9%) and anaesthesiology (n=13; 3.9%). Residents, regardless of year of training, mainly asked for help because of adjustment (n=131; 39.1%), affective (n=77; 23%), anxiety disorders (n=40; 18.8%) and addictions (n=19; 5.7%). There were no significant differences between groups in the main diagnosis and in the variables related to need of hospitalisation. The percentage of residents accessing the programme was higher than in the reference population registered at the Barcelona Medical Council-Association (18.1% vs 7.6%; z=7.2, pConclusionsResidents are more likely than consultant-grade physicians to seek help when suffering from mental disorders. Local primary prevention actions since the beginning of their training period and having access to a well-known highly reliable programme may partly explain these findings.
- Published
- 2021
9. La Atención a las Necesidades en Salud Mental de los Profesionales Sanitarios durante la COVID-19
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Forner Puntonet, Mireia, Fidel Kinori, Sara Guila, Beneria González, Anna, Delgado Arroyo, Mercedes, Perea Ortueta, Marta, Closa Castells, M. Helena, Estelrich-Costa, Maria de les N., Daigre Blanco, Constanza, Valverde-Collazo, Marta F., Bassas-Bolibar, Núria, Bosch Munso, Rosa M, Corrales De la Cruz, Montserrat, Dip Pérez, Maria Emilia, Fernández-Quirós, Judith, Jacas Escarcellé, Carlos, Lara Castillo, Benjamin, Lugo Marin, Jorge, Nieva Rifa, Gemma, Sorribes Puertas, Marta, Fadeuilhe Grau, Christian, Ferrer Vinardell, Marc, Ramos, Mar, Richarte Fernández, Vanesa, Ramos Quiroga, José Antonio, Institut Català de la Salut, [Forner-Puntonet M] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Departament de Psiquiatria i Medicina Legal, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Fidel-Kinori SG, Beneria A, Delgado-Arroyo M, Perea-Ortueta M, Closa-Castells MH, Estelrich-Costa MN, Daigre C, Bassas-Bolibar N, Bosch R, Corrales M, Dip-Pérez ME, Fernández-Quirós J, Jacas C, Lara-Castillo B, Lugo-Marín J, Nieva G, Sorribes-Puertas M, Fadeuilhe C, Ferrer M, Ramos M, Richarte V, Ramos-Quiroga JA] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Valverde-Collazo MF] Grup de Recerca en Psiquiatria, Salud Mental i Addiccions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain, and Vall d'Hebron Barcelona Hospital Campus
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Personal sanitari ,Health Care (Public Health)::Health of Specific Groups::Mental Health [PUBLIC HEALTH] ,ambiente y salud pública::salud pública::brotes de enfermedades::epidemias::pandemias [ATENCIÓN DE SALUD] ,Assistència psiquiàtrica ,virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus [ENFERMEDADES] ,Pandèmia de COVID-19, 2020 ,Persons::Occupational Groups::Health Personnel [NAMED GROUPS] ,Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [DISEASES] ,Environment and Public Health::Public Health::Disease Outbreaks::Epidemics::Pandemics [HEALTH CARE] ,personas::grupos profesionales::personal sanitario [DENOMINACIONES DE GRUPOS] ,atención a la salud (salud pública)::salud de grupos específicos::salud mental [SALUD PÚBLICA] - Abstract
COVID-19; Profesionales sanitarios; Salud mental COVID-19; Healthcare professionals; Mental health COVID-19; Professionals sanitaris; Salut mental Los profesionales sanitarios se encuentran en primera línea de atención a pacientes con COVID-19, presentando mayor riesgo de contagio y de afectación emocional. El objetivo del estudio es describir las necesidades en salud mental y conocer el efecto de una intervención psicológica en estos profesionales. Se incluyeron 47 trabajadores del Hospital Universitari Vall d’Hebron que solicitaron soporte psicológico durante el primer mes y medio de la crisis. Se administraron pre-post intervención un listado de síntomas clínicos, la Escala Clínica de Ansiedad y de Impresión Clínica Global. Consultaron mayoritariamente mujeres, profesionales de enfermería y técnicos auxiliares de enfermería, presentando hiperpreocupación, tristeza, alteraciones de sueño y orexia. Se observó una mejoría significativa en síntomas clínicos (z = 4.6, p ≤ .0001), estrés agudo (z = 2.5, p = .012), ansiedad (z = 5.3, p ≤ .0001) e impresión clínica (z = 4.1, p ≤ .0001). Una intervención psicológica breve, basada en técnicas de gestión de ansiedad, regulación emocional y orientación en valores reduce los síntomas emocionales en profesionales. Healthcare professionals are in the front line of care for patients with COVID-19, presenting greater risk of contagion and emotional distress. The aim of the study is to describe the results of a psychological intervention protocol for professionals; 47 workers from Vall d’Hebron University Hospital who requested psychological support were included during the first month and a half of the crisis. Before and after the intervention a checklist of clinical symptoms, the Clinical Anxiety Scale and the Clinical Global Impression Scale were administered. Professionals who consulted were mostly women, nursing staff, and assistant nursing care technicians, presenting hyperconcern, sadness, sleep, and eating disturbances. Significant improvements were observed on clinical symptoms (z = 4.6, p ≤ .0001), acute stress (z = 2.5, p = .012), anxiety (z = 5.3, p ≤ .0001), and clinical impression (z = 4.1, p ≤ .0001). A brief psychological intervention, based on anxiety management, emotional regulation, and values oriented-behavior, was shown to be effective in reducing emotional symptoms in professionals.
- Published
- 2021
10. Review article: A primer for clinical researchers in the emergency department: Part XIII. Strategies to engage staff and enhance participant recruitment in emergency department research.
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O'Brien S, Wilson C, Duck M, Nieva G, Rao MP, and Haskell L
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Conducting research in ED is important and necessary to improve emergency care. Effective recruitment is an essential ingredient for the success of a research project and must be carefully monitored. Research coordinators are focused on optimising recruitment to research studies while also ensuring that the needs of participants and their families are met, and the research is acceptable to ED staff. In this paper, a group of experienced research coordinators from Australia and New Zealand have shared their strategies to engage staff and enhance recruitment of participants in emergency research. Although this paper is from a paediatric research network, the findings are applicable for EDs in general, both in Australasia and elsewhere., (© 2024 Australasian College for Emergency Medicine.)
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- 2024
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11. Finite-size effects in hyperuniform vortex matter.
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Milagros Besana R, Elías F, Puig J, Aragón Sánchez J, Nieva G, Benedykt Kolton A, and Fasano Y
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Novel hyperuniform materials are emerging as an active field of applied and basic research since they can be designed to have exceptional physical properties. This ubiquitous state of matter presents a hidden order that is characterized by the density of constituents of the system being uniform at large scales, as in a perfect crystal, although they can be isotropic and disordered like a liquid. In the quest for synthesizing hyperuniform materials in experimental conditions, the impact of finite-size effects remains as an open question to be addressed. We use vortex matter in type-II superconductors as a toy model system to study this issue. We previously reported that vortex matter nucleated in samples with point disorder is effectively hyperuniform and thus presents the interesting physical properties inherent to hyperuniform systems. In this work we present experimental evidence that on decreasing the thickness of the vortex system its hyperuniform order is depleted. By means of hydrodynamic arguments we show that the experimentally observed depletion can be associated to two crossovers that we describe within a hydrodynamic approximation. The first crossover length is thickness-dependent and separates a class-II hyperuniform regime at intermediate lengthscales from a regime that can become asymptotically non-hyperuniform for large wavelengths in very thin samples. The second crossover takes place at smaller lengthscales and marks the onset of a faster increase of density fluctuations due to the dispersivity of the elastic constants. Our work points to a novel mechanism of emerging hyperuniformity controlled by the thickness of the host sample, an issue that has to be taken into account when growing hyperuniform structures for technological applications., (© 2024 IOP Publishing Ltd.)
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- 2024
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12. Comparing nurses attending a specialised mental health programme with and without substance use disorder: a retrospective, observational study in Spain.
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Braquehais MD, Mozo X, Llavayol E, Gausachs E, Santiago R, Nieva G, Valero S, Grau-López L, Ramos-Quiroga JA, and Bruguera E
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- Female, Humans, Male, Middle Aged, Mental Health, Mood Disorders psychology, Retrospective Studies, Spain epidemiology, Adult, Mental Disorders epidemiology, Mental Disorders therapy, Mental Disorders diagnosis, Substance-Related Disorders epidemiology, Substance-Related Disorders therapy, Substance-Related Disorders diagnosis
- Abstract
Objectives: To analyse the differences between nurses with and without substance use disorders (SUDs) admitted to a specialised mental health programme., Design: Retrospective, observational study., Setting: Specialised mental health treatment programme for nurses in Catalonia, Spain., Participants: 1091 nurses admitted to the programme from 2000 to 2021., Interventions: None., Primary and Secondary Outcomes: Sociodemographic, occupational and clinical variables were analysed. Diagnoses followed Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision criteria., Results: Most nurses admitted to the programme were women (88%, n=960) and came voluntarily (92.1%, n=1005). The mean age at admission was 45 (SD=10.4) years. The most common diagnoses were adjustment disorders (36.6%, n=399), unipolar mood disorders (25.8%, n=282), anxiety disorders (16.4%, n=179) and SUDs (13.8%, n=151). Only 19.2% (n=209) of the sample were hospitalised during their first treatment episode. After multivariate analysis, suffering from a SUD was significantly associated with being a man (OR=4.12; 95% CI 2.49 to 6.82), coming after a directed referral (OR=4.55; 95% CI 2.5 to 7.69), being on sick leave at admission (OR=2.21; 95% CI 1.42 to 3.45) and needing hospitalisation at the beginning of their treatment (OR=12.5; 95% CI 8.3 to 20)., Conclusions: Nurses with SUDs have greater resistance to voluntarily asking for help from specialised mental health treatment programmes and have greater clinical severity compared with those without addictions. SUDs are also more frequent among men. More actions are needed to help prevent and promote earlier help-seeking behaviours among nurses with this type of mental disorder., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2024
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13. Sedation and Analgesia for Reduction of Pediatric Ileocolic Intussusception.
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Poonai N, Cohen DM, MacDowell D, Mistry RD, Mintegi S, Craig S, Roland D, Miller M, Shavit I, Wang Y, Nager A, Heyming T, Burns R, Trehan I, Lipshaw M, Sulton C, Li J, Ojo A, Kelly S, Thornton M, Caperell K, Amoni I, Abrams A, Duong M, Wassem M, Davis A, Gravel J, Doyon Trottier E, Bar Am N, Thompson G, Sabhaney V, Meckler G, Jain R, Ali S, Bressan S, Zangardi T, Villa G, Giacalone M, Seiler M, Sahyoun C, Romano F, Bognar Z, Hajosi-Kalcakosz S, Amir L, Hachimi-Idrissi S, Pucuka Z, Zviedre A, Zeltina E, Phillips N, Borland M, O'Brien S, Marchant J, Kochar A, George S, Pennington V, Lyttle M, Browning J, McLoughlin A, Hartshorn S, Urooj C, Johnston L, Walton E, Subrahmanyam Puthucode D, Peacock P, Conroy J, Marañon R, Garcia S, Cahís N, Cámara-Otegui A, Gomez A, Carbonero M, Angelats-Romero C, Yock-Corrales A, Hualde G, Spigariol F, Donas A, Gübeli Linné C, Rocchi A, Pedrazzini A, Cozzi G, Barbi D, Baggio L, La Fauci G, Mauro A, Steimle M, Buonsenso D, Ugalde I, Nieva G, Harper C, Sforzi I, and Jain S
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- Male, Child, Humans, Adolescent, Female, Analgesics, Opioid therapeutic use, Cross-Sectional Studies, Intussusception complications, Intestinal Perforation etiology, Analgesia adverse effects
- Abstract
Importance: Ileocolic intussusception is an important cause of intestinal obstruction in children. Reduction of ileocolic intussusception using air or fluid enema is the standard of care. This likely distressing procedure is usually performed without sedation or analgesia, but practice variation exists., Objective: To characterize the prevalence of opioid analgesia and sedation and assess their association with intestinal perforation and failed reduction., Design, Setting, and Participants: This cross-sectional study reviewed medical records of children aged 4 to 48 months with attempted reduction of ileocolic intussusception at 86 pediatric tertiary care institutions in 14 countries from January 2017 to December 2019. Of 3555 eligible medical records, 352 were excluded, and 3203 medical records were eligible. Data were analyzed in August 2022., Exposures: Reduction of ileocolic intussusception., Main Outcomes and Measures: The primary outcomes were opioid analgesia within 120 minutes of reduction based on the therapeutic window of IV morphine and sedation immediately before reduction of intussusception., Results: We included 3203 patients (median [IQR] age, 17 [9-27] months; 2054 of 3203 [64.1%] males). Opioid use was documented in 395 of 3134 patients (12.6%), sedation 334 of 3161 patients (10.6%), and opioids plus sedation in 178 of 3134 patients (5.7%). Perforation was uncommon and occurred in 13 of 3203 patients (0.4%). In the unadjusted analysis, opioids plus sedation (odds ratio [OR], 5.92; 95% CI, 1.28-27.42; P = .02) and a greater number of reduction attempts (OR, 1.48; 95% CI, 1.03-2.11; P = .03) were significantly associated with perforation. In the adjusted analysis, neither of these covariates remained significant. Reductions were successful in 2700 of 3184 attempts (84.8%). In the unadjusted analysis, younger age, no pain assessment at triage, opioids, longer duration of symptoms, hydrostatic enema, and gastrointestinal anomaly were significantly associated with failed reduction. In the adjusted analysis, only younger age (OR, 1.05 per month; 95% CI, 1.03-1.06 per month; P < .001), shorter duration of symptoms (OR, 0.96 per hour; 95% CI, 0.94-0.99 per hour; P = .002), and gastrointestinal anomaly (OR, 6.50; 95% CI, 2.04-20.64; P = .002) remained significant., Conclusions and Relevance: This cross-sectional study of pediatric ileocolic intussusception found that more than two-thirds of patients received neither analgesia nor sedation. Neither was associated with intestinal perforation or failed reduction, challenging the widespread practice of withholding analgesia and sedation for reduction of ileocolic intussusception in children.
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- 2023
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14. Nurse admissions at a specialized mental health programme: A pre-Covid-19 retrospective review (2000-2019).
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Braquehais MD, Mozo X, Gausachs E, Santiago R, Llavayol E, González-Irizar O, Nieva G, Valero S, Ramos-Quiroga JA, and Bruguera E
- Subjects
- Humans, Mental Health, Retrospective Studies, COVID-19 epidemiology, Mental Disorders epidemiology, Mental Disorders therapy, Mental Health Services, Substance-Related Disorders
- Abstract
Aims: Nursing is a stressful and emotionally demanding profession. To date, few mental health treatment interventions have been developed for them worldwide. This study aims to explore referral trends in nurses with mental disorders admitted to a pioneer specialized mental health programme in Europe from 2000 to 2019., Design: A retrospective observational study of 1297 medical e-records of nurses with mental health disorders admitted to the Galatea Care Programme in Barcelona was conducted., Methods: Three periods were analysed: 2000-2006, 2007-2012 and 2013-2019. Socio-demographic and clinical variables were compared. Diagnoses followed Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria., Results: Gender and age at referral did not change over time. Self-referrals grew from 85.1% in the first period to 95.3% in the last period; inpatient admissions decreased from 24.1% to 18.2%, although this was not significant; nurses were less frequently on sick leave on admission over time (59.1% vs. 45.7%); they were more likely to have a temporary contract in the second period (9.5% vs. 4.8% and 4%) and prevalence of main diagnosis changed with a considerable decrease in affective and substance use disorders after 2006 and a progressive increase in adjustment disorders during the whole period., Conclusion: Free, voluntary, highly confidential programmes for nurses with mental disorders may enhance voluntary and earlier help seeking. These findings can be considered when implementing specialized interventions for them in other settings. WHAT PROBLEM DID THE STUDY ADDRESS?: Nursing is a stressful and emotionally demanding profession. To date, few specialized mental health services have been developed for them worldwide. This study aims to explore referral trends in nurses with mental disorders admitted to a pioneer programme in Europe, the Galatea Care Programme in Barcelona, from 2000 to 2019. WHAT WERE THE MAIN FINDINGS?: The number of referrals to the programme grew especially after the first 7-year period. Admissions were more likely to be voluntary during the last period. Prevalence of substance use disorders at admission dropped steadily while prevalence of adjustment disorders progressively increased over the two decades. Nurses were also less likely to be on sick leave at admission. WHERE AND ON WHOM WILL THE RESEARCH HAVE IMPACT?: Free, voluntary, highly confidential programmes for nurses with mental disorders may enhance voluntary and earlier help seeking. These findings can be considered when implementing specialized interventions for them in other settings., (© 2022 John Wiley & Sons Ltd.)
- Published
- 2022
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15. Smoking cessation interventions in substance use disorders treatment centers of Catalonia: The abandoned addiction.
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Nieva G, Ballbè M, Cano M, Carcolé B, Fernández T, Martínez À, Mondon S, Raich A, Roig P, Serra I, Serrano J, and Pinet C
- Subjects
- Behavior Therapy, Humans, Spain, Behavior, Addictive, Smoking Cessation, Substance-Related Disorders therapy
- Abstract
Substance use disorders (SUD) treatment centers are an optimal setting for delivering smoking cessation interventions (SCI). This study aimed to examine the adoption of SCI in SUD treatment centers in Catalonia (Spain) as well as to assess their managers' views on the appropriateness and feasibility of providing SCI. Managers directly in charge of SUD treatment centers (n = 57) answered a 30-item on-line questionnaire. Data was obtained of 50 centers (87.7% response rate). Forty-six per cent of the centers provided some kind of SCI, but only 4.8% of the new patients were treated for smoking cessation. Managers reported that 73.3% of mental health professionals working in SUD centers had not been trained in SCI. Sixty-four per cent of managers agreed that all health professionals should deliver SCI. Those centers offering SCI attended more patients and were more likely to have professionals trained in SCI than those not offering SCI. The implementation of SCI in SUD treatment centers in Catalonia was suboptimal. Continuing education and training should be provided for all health professionals working in SUD centers. Not systematically delivering SCI to patients in treatment for other SUD means missing opportunities to reduce health and economic costs while perpetuating a smoking culture.
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- 2022
- Full Text
- View/download PDF
16. Acceptability and participation predictors for a pragmatic randomized controlled trial to test a smoking cessation intervention after discharge from mental health wards.
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Martínez C, Feliu A, Torres N, Nieva G, Pinet C, Raich A, Mondon S, Barrio P, Andreu M, Hernández-Ribas R, Vicens J, Costa S, Suelves JM, Vilaplana J, Enríquez M, Alaustre L, Vilalta E, Subirà S, Bruguera E, Castellano Y, Saura J, Guydish J, Fernández E, and Ballbè M
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- Adult, Hospitals, Humans, Mental Health, Patient Discharge, Smoking Prevention, Smoking Cessation psychology
- Abstract
Background and Aim: Hospitalization is an ideal time to promote smoking cessation, but interventions are limited for supporting cessation maintenance after discharge. This study aimed to evaluate the acceptability of participating in a trial that tested the efficacy of an intensive telephone-based intervention for smokers after discharge., Methods: Adult smokers admitted to mental health wards of six hospitals were invited to participate in the trial. We studied the study acceptance/decline rates by analyzing the characteristics of participants (e.g., sex, age, psychiatric disorder, smoking pattern) and hospitals (e.g., size, tobacco control implementation). We calculated adjusted odds ratios (aOR) to assess predictors of non-participation., Results: Of 530 smokers that met the study inclusion criteria, 55.5% (n = 294) agreed to participate. Participant and non-participants were not different in sex, age, or psychiatric diagnosis. Compared to non-participants, participants had made more attempts to quit in the past year (66.1% vs 33.9%; p < 0.001) and reported higher abstinence rates during the hospital stay (66.7% vs. 33.3%; p = 0.05). Participation rates by hospital varied from 30.9% to 82.0% (p < 0.001). Predictors of non-participation were not having attempted to quit in the last year (aOR=2.42; 95%CI: 1.66-3.53) and low level of tobacco control in the hospital (aOR range: 1.79-6.39, p < 0.05)., Conclusions: A telephone-based intervention to promote smoking cessation after discharge was accepted by half of the smokers with mental health disorders. Smokers that had attempted to quit previously and those that stayed in hospitals with a strong tobacco control policy were more likely to participate in the trial., (Copyright © 2022 Elsevier B.V. All rights reserved.)
- Published
- 2022
- Full Text
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17. Help Seeking of Highly Specialized Mental Health Treatment before and during the COVID-19 Pandemic among Health Professionals.
- Author
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Braquehais MD, Gómez-Duran EL, Nieva G, Valero S, Ramos-Quiroga JA, and Bruguera E
- Subjects
- Anxiety Disorders epidemiology, Female, Humans, Mental Health, Pandemics, Psychotherapy, COVID-19 epidemiology
- Abstract
(1) Background: Ongoing specialized programs for health professionals (HPs) adapted their treatment services during the COVID-19 pandemic. (2) Methods: We conducted a retrospective observational study of medical e-records of HPs with mental disorders working in Catalonia that were consecutively admitted to the Galatea Care Program Clinical Unit. The sample (N = 1461) was divided into two periods: 21.5 months before ( n = 637) and after ( n = 824) 14 March 2020. (3) Results: There was a significant increase (29.4%) in the number of referrals to the specialized Clinical Unit during the pandemic, especially with respect to physicians compared to nurses. The percentage of HP women at admission and the clinical severity of the first treatment episode remained without changes before and after the COVID-19 pandemic. The most prevalent main diagnoses also remained similar: adjustment disorders (41.5%), mood disorders (24.9%), anxiety disorders (14.4%), and substance use disorders (11.8%). (4) Conclusions: HPs, particularly physicians, more frequently sought voluntary help from specialized mental health programs during the COVID-19 pandemic. Future studies are needed to analyze the reasons behind this finding and the evolution of referrals to these types of programs after the COVID-19 outbreak.
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- 2022
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18. Characteristics of resident physicians accessing a specialised mental health service: a retrospective study.
- Author
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Braquehais MD, Vargas-Cáceres S, Nieva G, Mantilla MF, Ortega G, Valero S, Ramos-Quiroga JA, and Bruguera E
- Subjects
- Anxiety Disorders, Child, Humans, Retrospective Studies, Internship and Residency, Mental Health Services, Physicians, Psychiatry
- Abstract
Objectives: Little is known about resident physicians being treated at physician health programmes around the world despite the fact that it is a highly demanding training period. This study aims to describe the profiles of resident physicians accessing a specialised mental health service in Spain over a 20-year period and to compare them to consultant-grade physicians., Design: Retrospective observational study., Setting: Medical records of the Galatea Care Programme for Sick Physicians., Participants: 1846 physicians registered at the Barcelona Medical Council-Association and admitted to the programme from January 1998 to December 2018., Primary and Secondary Outcome Measures: Number of admissions, sociodemographic and clinical variables, including medical specialty, main diagnosis and need of hospitalisation., Results: Residents accounted for 18.1% (n=335) of the sample and admissions increased over the years. Most residents (n=311; 94.5%) and consultant-grade physicians (n=1391; 92.8%) were self-referred. The most common specialty among residents was family medicine (n=107; 31.9%), followed by internal medicine (n=18; 5.4%), paediatrics (n=14; 4.2%), psychiatry (n=13; 3.9%) and anaesthesiology (n=13; 3.9%). Residents, regardless of year of training, mainly asked for help because of adjustment (n=131; 39.1%), affective (n=77; 23%), anxiety disorders (n=40; 18.8%) and addictions (n=19; 5.7%). There were no significant differences between groups in the main diagnosis and in the variables related to need of hospitalisation. The percentage of residents accessing the programme was higher than in the reference population registered at the Barcelona Medical Council-Association (18.1% vs 7.6%; z=7.2, p<0.001) as was the percentage of family medicine residents (31.9% vs 19.6%; z=5.7, p<0.001)., Conclusions: Residents are more likely than consultant-grade physicians to seek help when suffering from mental disorders. Local primary prevention actions since the beginning of their training period and having access to a well-known highly reliable programme may partly explain these findings., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2021
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19. Author Correction: Non-Gaussian tail in the force distribution: a hallmark of correlated disorder in the host media of elastic objects.
- Author
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Sánchez JA, Rumi G, Maldonado RC, Bolecek NRC, Puig J, Pedrazzini P, Nieva G, Dolz MI, Konczykowski M, van der Beek CJ, Kolton AB, and Fasano Y
- Published
- 2021
- Full Text
- View/download PDF
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