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Pain is defined as an unpleasant emotional and sensory experience associated with bodily harm or with situations that cause fear and anxiety. However, it is often undertreated in pediatric emergency departments. This study aims to assess the effectiveness of sedation-analgesia techniques, level of satisfaction among health care professionals and relatives, and agreement between the satisfaction of health care professionals and relatives.A cross-sectional design was conducted. Sociodemographic and clinical variables were recorded, together with those for effectiveness using the Face, Legs, Activity, Cry, and Consolability scale and the Wong-Baker FACES scale, and the satisfaction using the 10-point Likert scale. Stata 16.1 was used for data analysis.A total of 94 procedures were registered. The results suggested that these techniques were effective or mildly effective in only half of the cases. Satisfaction was considered good across the board, and the agreement between health care professionals (ie, pediatric nurses and pediatricians) was considered substantial. However, the agreement between health care professionals and relatives was moderate.Our results suggested that the adequate management of pain in pediatric emergency departments is still a challenge, despite the availability of international guidelines. Future research lines should be focused on analyzing possible causes of the inefficacy of some sedation-analgesia techniques and the causes of the differences between the perspectives of health care professionals and relatives. These research lines may be useful to improve quality of care and pediatric patient comfort.

The SARS-CoV-2 pandemic has given us many reflections and an uncertain future. But it has also been an opportunity to open to new challenges in paediatric research. In Catalonia, a multidisciplinary research group (COPEDI-CAT) formed by hospital and primary care paediatricians and physicists from the Computational Biology and Complex Systems Unit (BIOCOM-SC) of the Polytechnic University of Catalonia was set up to answer some of the unknowns about SARS-CoV-2 infection in the paediatric age group. In a first study, at the beginning of the pandemic, we demonstrated that children and adolescents were not the driving force behind the spread of the virus: 70% of the positive cases were transmitted by a cohabiting adult and only 7.7% were index cases within the family nucleus. In another study on the transmission of the virus in school bubble groups, we found that 75% of the positive cases did not infect any of their peers. We also found that most of the children and adolescents were asymptomatic or had mild COVID-19 and were progressing favourably. Hospitalisations and complications are described but are very rare. In the fifth wave, the SARS-CoV-2 delta variant has affected significantly more children (20%) than in previous waves. Thanks to the effort and investment made, research has borne fruit and we now have effective and safe vaccines. Vaccines have put us in a much more optimistic scenario, but with all the scientific information available and with the predominant delta variant, it is inevitable to ask whether vaccination in children under 12 years of age could be of benefit to them and to the general population. At the moment, we have no results on efficacy, safety and immunity in this age group and, of course, no authorisation from international health organisations such as the WHO, EMA and FDA.

A hospital admission is an experience capable of generating emotional and behavioral alterations at any age. This study pretends to analyze the response of anxiety, fears and/or behavioral alterations in pediatric patients exposed to a conventional non-surgical hospital admission and the existing relationship between these responses and certain modulating variables. Metodology. Design of cohorts. Data collection was carried out in three stages (M1: at admission; M2: at discharge; M3: 2 weeks after discharge), on a 30 patient sample between the ages of 6 to 15 years and 30 caregivers. A comparison was made on the mean of the repeated measurements (Student t) of the respond variables and their correlation (Pearson#8217;s Coefficient Correlation) with modulating variables.The results of the intra-subject analysis showed significance in terms of anxiety levels state in patients in M1 versus M3 (t=3.93, p.0001, d=0.69) and the magnitude of the total behavioral alterations registered in M1 versus M3 (t=-5.02, p.0001, d=0.60). It was observed that a significant relationship between modulating variables of patients (anxiety risk) and of the caregiver (anxiety character state, strategy of confrontation) and the variables of response of the anxiety and behavioral alterations of the patient.Exposure of a conventional non-surgical hospital admission may have negative consequences at an emotional and behavioral level in children, present far beyond the hospital admission. Certain variables, from the patient and the caregiver, are psychological vulnerability factors before a hospitalization process.

Treball de final de grau corresponent a l'àrea de creació gràfica. En aquest projecte s'implementen una nova imatge corporativa per a Losma, una pime industrial egarenca, així com un lloc web corporatiu. Trabajo de fin de grado correspondiente al área de creación gráfica. En este proyecto se implementan una nueva imagen corporativa para Losma, una pyme industrial egarense, así como un sitio web corporativo. Final grade work corresponding to the area of graphic creation. This project implemented a new corporate image for Losma, industrial egarense an SME and a corporate website.

Este artículo examina la evaluación interdisciplinaria de una niña con discapacidad. Se presenta una mirada crítica a los factores fragmentados de la evaluación tradicional y por otro lado la importancia de integrar nociones ideas y conceptos entre las disciplinas, específicamente psicología y trabajo social. El trabajo interdisciplinario permitió una mirada amplia al desarrollo integral de la niña y su contexto social.

Tradicionalment s'ha parlat de primers auxilis (PA)com una sèrie de tècniques aplicades a les víctimes d'accidents, quasi sempre basades en el sentit comú o en tradicions de poca fonamentació científica i proveïdes per persones amb molt bona voluntat i iniciativa (bons samaritans), però a les quals no sempre s'ha donat una formació especialitzada. D'altra banda, tenim la víctima, aquella persona que per lesió o malaltia es troba en una situació vulnerable i de risc, i a qui en moltes circumstàncies rebre una primera atenció precoç i adequada pot significar la diferència entre la mort i la vida, amb seqüeles més o menys discapacitants o sense.

To describe clinical and epidemiological features of influenza A H1N1 2009 diagnosed patients in the Emergency Department of 4 hospitals.Prospective multicentre study conducted from july to december 2009. The patients diagnosed by Real-Time PCR of influenza A H1N1 2009 in the emergency department were included. The test was requested according to the protocols established throughout the epidemic. Epidemiological, clinical, laboratory variables and outcomes were evaluated.A total of 456 cases were included, with a median age of 6.5years (PC(25-75) 3-10.6). There were risk factors of complications In 266 patients (59.4%) due to the influenza, mainly: respiratory (47%), cardiovascular (17%), neurological (14%) and immunosuppression (11%). The most frequent symptoms were fever (96%), (88%) cough, (72%) rhinorrhoea, muscle aches or asthenia and breathing difficulties and, less common, gastrointestinal and neurological symptoms. Chest X-ray was performed on 224 cases (49%), with lobar (31%) and interstitial (15%) infiltrates. One hundred and forty patients (31%) were hospitalised and 3.2% required Intensive Care Unit (median stay 4 and 3.5days, respectively). The most frequent complications were pneumonias and bronchospasms. Three patients died (a previously healthy patient with myocarditis and 2 patients with encephalopathy due to respiratory failure). Another case of myocarditis recovered with sequelae.The profile of patient with influenza A 2009 diagnosed in the emergency department was a school child, with risk factors of complications, presenting with respiratory symptoms and fever over a short time, and who can be discharged. It is important to emphasise myocarditis, as well as the usual respiratory complications of influenza virus.