To examine the effect of the Feldenkrais method on lower legs and foot somatosensory postural control-related function, dynamic balance, fear of falling and quality of life in adults with diabetic polyneuropathy in the short and mid-term. A single-blinded, parallel, multicentric randomized control trial was conducted in two health hospitals. Subjects with diabetic polyneuropathy and older than 55 years with a history of falls or dynamic balance dysfunction were recruited from the hospital databases and randomly allocated to the experimental or control group. The experimental group received 16 sessions of sensorimotor training based on the Feldenkrais method. Both groups received diabetic foot care instructions. The results were measured at the 3 and 6-month follow-up periods. The mean age was 70 ± 8. A total of 44 participants were enrolled in the study, and 27 completed the process. No adverse events were reported. After the intervention, significant somatosensory results were obtained (p < 0.001). The results of the Up and Go and POMA tests were significant after the intervention (p < 0.001) and during the 3-month follow-up period for POMA (p = 0.018). The fear of falling showed significant results at the 3-month follow-up period (p = 0.03), and the quality of life in all measurements. Significant short-term effects were obtained on somatosensory postural control-related function, dynamic balance, and fear of falling. Significant short and mid-term effects were achieved on quality of life. Older adults with diabetic polyneuropathy, dynamic balance impairment, or a history of falls can improve their abilities through the Feldenkrais method. Clinicaltrials.gov: NCT05262946.

The detection and prevention of addictive behaviour at an early age is essential given the relationship between the age of the onset of consumption and the appearance of addiction disorders. The aim of this study was to describe the behavior related to substance use and addictive behaviors in adolescents at secondary school from 12 to 16 years of age. A cross-sectional descriptive study has been conducted. The prevalence of consumption of different addictive substances (alcohol, tobacco, cannabis, cocaine) and addictive behaviours (use of social networks and video games) were collated, and the influence of the surrounding social environment and risk perception were evaluated. The final sample was 1298 students. Alcohol, tobacco and cannabis use reflect the prevalence of last month’s consumption: 14% (11.8–15.6), 15% (13.4–17.4) and 3% (1.9–2.7) respectively. 76% of the sample frequently use the Internet (5–7 days per week). There is a positive association between the frequency of use and use in the immediate environment. The relationships found show the need for educational and preventive intervention aimed at parents and students that will allow them to know and effectively deal with possible problems associated with the consumption of addictive substances.

To analyze the leadership network structure among nursing leaders in Spain identified through the Grupo40Enfermeras y Universidad event. A descriptive cross-sectional study using social network analysis was used. Study sample consisted of 210 individuals, of whom 119 received nominations as referents. Structural analysis of the network was conducted using centrality and cohesion. A network structure was generated in which different leadership strategies were identified through InDegree, Eigenvector, and Betweenness Centrality. Five leaders were identified as bridges to other individuals using Betweenness. The whole network presented little cohesion although two highly cohesive cores were detected by K-core measurements. A strategy is needed to support nursing leaders with high degree of Betweenness to serve as bridges to connect other nursing leaders.

Introduction: The diverse cultural landscape of Europe underscores the importance of culturally safe healthcare. There is a necessity to assess cultural competence among European nursing faculty to provide an international perspective on cultural competence.Design: A descriptive, cross‐sectional study.Methods: An assessment of cultural competencies was conducted using the Cultural Competence Assessment scale, either in its original language (English) or in its translated and validated versions in Spanish, Italian, Portuguese, and Turkish. An online questionnaire was used to collect data.The study was conducted in 71 higher institutions, distributed across 17 countries through a consecutive sample of 1364 nursing faculty.The ethical principles of biomedical research were respected during the study, and the confidentiality of the data was guaranteed.Results: The mean level of cultural competence of the European nursing faculty was at the level of ‘good’. They showed greater cultural awareness and sensitivity than cultural competence behaviors. Significant associations were found between cultural competence level and the language of the questionnaire, level of education, having a nursing degree, leisure stays abroad, having friends from other countries or cultures, and international experiences abroad and at home. The better levels of cultural competence were found in profiles with the categories of: women with a Nursing Degree, a higher level of education, and with an ERASMUS+ stay experience.Conclusions: This study offers an international overview of the cultural competence of nursing faculty. While the overall level of cultural competence was good, there is a need to reinforce the behaviors and factors that influence it.

Introducción: La musculatura respiratoria es un limitante de la capacidad de ejercicio en pacientes trasplantados pulmonares. Es necesario conocer la eficacia de las técnicas específicas de entrenamiento de la musculatura respiratoria llevadas a cabo en el manejo del paciente adulto trasplantado de pulmón en el periodo postoperatorio. Métodos: Se llevó a cabo una revisión sistemática de ensayos clínicos, que incluyeron a pacientes adultos trasplantados pulmonares sometidos a entrenamiento respiratorio postrasplante. Se efectuó una búsqueda en las bases de datos PubMed/Medline, EMBASE, Scopus, Web of Science, Cochrane Library entre enero de 2012 y septiembre de 2023, utilizando los términos: «breathing exercise», «respiratory muscle training», «inspiratory muscle training», «respiratory exercise», «pulmonary rehabilitation», «lung rehabilitation», en combinación con «lung transplantation», «lung transplant», «postransplant lung». Sin límite de idioma. Resultados: Se incluyeron 11 ensayos con un total de 639 pacientes analizados. La mayoría de los programas de entrenamiento se inician al alta hospitalaria (más de un mes postrasplante), pocos lo hacen de manera precoz (Unidad de Cuidados Intensivos). La duración varía de 1-12 meses postrasplante. Las intervenciones estuvieron basadas en entrenamiento aeróbico y fuerza de musculatura periférica. Algunos de ellos incluyeron ejercicios respiratorios y expansiones torácicas. La variable resultado más utilizada fue la capacidad de ejercicio submáximo medida con el test de la marcha de los 6 minutos. Conclusiones: El entrenamiento de la musculatura respiratoria del paciente adulto trasplantado favorece la mejora de la capacidad de ejercicio y de la calidad de vida. El entrenamiento aeróbico, así como el de la fuerza del resto de la musculatura periférica, contribuyen a la mejora de la musculatura respiratoria. Introduction: Respiratory muscles are a limiter of exercise capacity in lung transplant patients. It is necessary to know the effectiveness of specific respiratory muscle training techniques carried out in the management of adult lung transplant patients in the postoperative period. Methodology: A systematic review of clinical trials was carried out, which included adult lung transplant patients undergoing post-transplant respiratory training. A search was carried out in the databases PubMed/Medline, EMBASE, Scopus, Web of Science, Cochrane Library between January 2012 and September 2023, using the terms: “breathing exercise”, “respiratory muscle training”, “inspiratory muscle training”, “respiratory exercise”, “pulmonary rehabilitation”, “lung rehabilitation”; in combination with “lung transplantation”, “lung transplant”, “posttransplant lung”. No language limit. Results: Eleven trials were included with a total of 639 patients analyzed. Most training programs begin upon hospital discharge (more than one month post-transplant), few do so early (Intensive Care Unit). The duration varies from 1-12 months post-transplant. The interventions were based on aerobic training and peripheral muscle strength. Some of them included breathing exercises and chest expansions. The most used outcome variable was submaximal exercise capacity measured with the 6-minute walk test. Conclusions: Training the respiratory muscles of the adult transplant patient favors the improvement of exercise capacity and quality of life. Aerobic training, as well as strength training of the rest of the peripheral muscles, contribute to the improvement of respiratory muscles.