Health professionals predict that the number of people who will suffer and die from oncological diseases will continue to increase. It is vitally important to provide comprehensive care to these patients and prescribe physical exercise programs as adjuvant therapy. The objective of this systematic review was to determine the impact of physical exercise on advanced‐stage cancer patients. A literature search was performed in eight different databases. This search focused on randomized controlled trials (RCTs) published during the last 10 years. To assess the methodological quality of the sample of 15 RCTs finally obtained, the PEDro scale was used. Aerobic and strength training methods were used. The combination of both aerobic and strength training methods was the most frequently reported. Likewise, different physical and psychological variables were recorded, from which improvements were seen in fatigue, independence, quality of life and sleep, among others. The participation in physical exercise programs by advanced‐stage cancer patients has a positive impact on health. Providing these programs serves as adjuvant therapy, facilitating the comprehensive care of patients. Similarly, aerobic, strength or mixed training programs increase the muscle mass of patients and therefore reduce hypotonia, the main side effect during the advanced‐stages of cancer.

This study analyzed changes in the psychological health of students who were in the final year of their nursing degree during the COVID-19 pandemic and later served as nursing professionals in hospitals. Methods: A prospective longitudinal study was conducted over two periods of time (the first in April 2020 and the second 6 months later, in December 2020) with 296 students for a T0 baseline (rate response 68.83%) and 92 students for a T1 post-test sample (response rate 31.08%). The data were electronically collected using the Hospital Anxiety and Depression Scale, the Life Satisfaction Questionnaire, the Resilience Scale, and a post-traumatic stress questionnaire. The mean age of the sample participants was 24.17 years (SD = 5.51), and 89.11% were female. During the pandemic, 14.11% of students showed scores that indicated depression, and 32.61% showed scores that indicated anxiety. In December 2020, 86.5% of the participants were working as nurses, and the percentages of those with anxiety (12%) and depression (4.3%) were significantly lower than in the first sample period. A total of 20.7% of the participants had post-traumatic stress. High scores for resilience were significantly associated with better quality of life and lower levels of anxiety, depression, and post-traumatic stress. Conclusions: Although the percentages of participants with anxiety and depression decreased, they still presented with mental health problems.

Objective: The objective of this study was to evaluate the efficacy and safety of intranasal midazolam as part of a paediatric sedation and analgesic procedure during the suturing of traumatic lacerations in paediatric emergency departments. Methodology: A systematic review of clinical trials was completed in July 2021. The databases consulted were PUBMED, SCOPUS, WEB OF SCIENCE, NICE and Virtual Health Library. Eligibility criteria: randomised and nonrandomised clinical trials. Two independent, blinded reviewers performed the selection and data extraction. The participants were 746 children, of whom, 377 received intranasal midazolam. All of the children were admitted to an emergency department for traumatic lacerations that required suturing. The quality of the articles was evaluated with the Jadad scale. This systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Results: Nine studies were included in the review. The intranasal administration of midazolam in healthy children produces anxiolysis and minimal/moderate sedation without serious side effects. Although there are combinations of parenteral drugs that produce deeper sedation, they also have greater adverse effects. No significant differences in the initiation of sedation and the suture procedure were found between the intranasal route and the parenteral route. Conclusions: The use of intranasal midazolam in healthy children produces sufficiently intense and long-lasting sedation to allow for the suturing of traumatic lacerations that do not present other complications; therefore, this drug can be used effectively in paediatric emergency departments.

Purpose: The purpose of this paper is to analyse the ways clients find out about a sport centre and the factors that lead them to enrol and influence their satisfaction with their membership. A secondary objective was to determine the reasons for continuing to attend a sport centre and how they influenced satisfaction towards achievement. Finally, the authors aimed to identify differences between reasons for enroling and reasons for continuing at a sport centre. Design/methodology/approach: A specially developed 16-item questionnaire was sent to 125,000 clients and 21,043 responses were obtained. Findings: Clients who found out about the centre through a recommendation or the internet were 25 per cent more likely to be satisfied with it than those who knew of the centre due to proximity. Similarly, clients who had a specific motive to continue using the centre, for example, to prepare for a sports competition were twice as likely to be satisfied with their membership as any other group (p<0.001). Research limitations/implications: It identifies a set of research priorities for the journal and the field. Practical implications: In conclusion, the option of staying fit is established as the most effective recruitment method for retaining clients at the sport centre. Originality/value: This paper intends to do is to establish the bases of information and knowledge for the treatment of high motives, as well as for managers of sports centres to remodel their strategies of marketing to attracting customers.

Background/Objective: One of the life stages that affects the consolidation of habits and health is the university stage. This transition to adulthood is associated with a decrease in physical activity, increasing the risk of cardiovascular disease. This study describes lifestyle habits related to physical activity level, diet quality, and body composition in nursing students and analyzes cardiovascular risk using the ABSI-z index. Methods: We conducted a cross-sectional study with 296 students from the Faculty of Nursing of Albacete (Spain). Physical activity was assessed via the IPAQ-SF. Body composition was measured by bioimpedance, from which BMI and ABSI-z scores were obtained as indicators of cardiovascular risk. The eating patterns of the participants were analyzed. Results/Discussion: The active students had significantly better body composition, with greater fat-free mass and muscle mass than the sedentary students, both in men (p = 0.037 and p = 0.046, respectively) and in women (p = 0.002 and p = 0.007). These findings corroborate evidence of the protective role of physical activity in maintaining metabolic health. The analysis of the ABSI-z score revealed different patterns in the distribution of body fat. High ABSI values were associated with greater abdominal girth (p < 0.001) and visceral fat (p < 0.001) in women, confirming its usefulness as an early marker of cardiovascular risk in university students. In contrast, the fulfillment of healthy dietary criteria was low, especially in the consumption of legumes (19%) and fish (25.9%). Conclusions: Regular physical activity is a determining factor in the body composition of university students, and ABSI is a good indicator of cardiovascular risk.

To evaluate the benefits of cognitive training via CogniFit ^® in adults over 60 years and its effects on quality of life, insomnia, depression, and daily memory failure. Quasi-experimental pretest–posttest study with a control group. Seventy-four participants were recruited, and 45 completed the study (23 intervention, 22 control). Data were collected at baseline and 8 weeks post-intervention. The intervention involved 12 weeks of CogniFit ^® cognitive training (three 20–30-min sessions per week). Instruments included the EuroQol EQ-5D-3L, Oviedo Sleep Questionnaire, GDS-15, Memory Failures of Everyday Questionnaire, MoCA, and CogniFit ^® battery. Analyses were conducted using chi-square, t , Mann–Whitney U , Wilcoxon, and Spearman tests ( p < .05). The intervention group showed significant improvements in global cognition (CogniFit ^® and MoCA). While memory failures did not improve, deterioration was prevented compared to the control group. No significant changes were found in depression, sleep, or quality of life. CogniFit ^® training may enhance cognitive function in adults over 60 and help prevent cognitive decline. The program mitigated memory deterioration observed in controls. Participants engaged in 12 weeks of cognitive training to promote cognitive health in older adults. The nonrandomized design, small sample, and self-reported measures limit internal validity. Nonetheless, findings support the utility of digital cognitive training as an accessible, nonpharmacological strategy to foster cognitive health and active aging.