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Rosa Magallón
Department of Medicine, Psychiatry and Dermatology, University of Zaragoza, 50009 Zaragoza, Spain

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Journal article
Published: 07 August 2021 in Nutrients
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Background: The relationship between the quality of the diet and the adherence to the Mediterranean diet with the presence of persistent or recurrent depressive symptoms have been described. The objective of this study is to analyze the relationship between adherence to the Mediterranean diet and the intake of specific foods in primary care patients aged 45 to 75, having subclinical or major depression. The study also specifically analyzes this relationship in individuals suffering from chronic diseases. Methods: A cross-sectional descriptive study was conducted. 3062 subjects met the inclusion criteria from the EIRA study. Sociodemographic variables, clinical morbidity, depression symptomatology (PHQ-9) and adherence to Mediterranean diet (MEDAS) were collected. Results: Being female, younger, with a higher BMI, consuming more than 1 serving of red meat a day and drinking more than one carbonated or sugary drink daily, not consuming 3 servings of nuts a week and not eating 2 vegetables cooked in olive oil a week are predictors of having higher depressive symptomatology. Conclusions: Assessing the type of diet of patients presenting depressive symptoms and promoting adherence to a healthy diet is important, especially in patients with chronic diseases. However, depression is a very complex issue and the relationship between nutrition and depression must be further examined.

ACS Style

Bárbara Oliván-Blázquez; Alejandra Aguilar-Latorre; Emma Motrico; Irene Gómez-Gómez; Edurne Zabaleta-Del-Olmo; Sabela Couso-Viana; Ana Clavería; José Maderuelo-Fernandez; José Recio-Rodríguez; Patricia Moreno-Peral; Marc Casajuana-Closas; Tomàs López-Jiménez; Bonaventura Bolíbar; Joan Llobera; Concepción Sarasa-Bosque; Álvaro Sanchez-Perez; Juan Bellón; Rosa Magallón-Botaya. The Relationship between Adherence to the Mediterranean Diet, Intake of Specific Foods and Depression in an Adult Population (45–75 Years) in Primary Health Care. A Cross-Sectional Descriptive Study. Nutrients 2021, 13, 2724 .

AMA Style

Bárbara Oliván-Blázquez, Alejandra Aguilar-Latorre, Emma Motrico, Irene Gómez-Gómez, Edurne Zabaleta-Del-Olmo, Sabela Couso-Viana, Ana Clavería, José Maderuelo-Fernandez, José Recio-Rodríguez, Patricia Moreno-Peral, Marc Casajuana-Closas, Tomàs López-Jiménez, Bonaventura Bolíbar, Joan Llobera, Concepción Sarasa-Bosque, Álvaro Sanchez-Perez, Juan Bellón, Rosa Magallón-Botaya. The Relationship between Adherence to the Mediterranean Diet, Intake of Specific Foods and Depression in an Adult Population (45–75 Years) in Primary Health Care. A Cross-Sectional Descriptive Study. Nutrients. 2021; 13 (8):2724.

Chicago/Turabian Style

Bárbara Oliván-Blázquez; Alejandra Aguilar-Latorre; Emma Motrico; Irene Gómez-Gómez; Edurne Zabaleta-Del-Olmo; Sabela Couso-Viana; Ana Clavería; José Maderuelo-Fernandez; José Recio-Rodríguez; Patricia Moreno-Peral; Marc Casajuana-Closas; Tomàs López-Jiménez; Bonaventura Bolíbar; Joan Llobera; Concepción Sarasa-Bosque; Álvaro Sanchez-Perez; Juan Bellón; Rosa Magallón-Botaya. 2021. "The Relationship between Adherence to the Mediterranean Diet, Intake of Specific Foods and Depression in an Adult Population (45–75 Years) in Primary Health Care. A Cross-Sectional Descriptive Study." Nutrients 13, no. 8: 2724.

Journal article
Published: 19 June 2021 in International Journal of Environmental Research and Public Health
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It is essential to understand the impact of social inequalities on the risk of COVID-19 infection in order to mitigate the social consequences of the pandemic. With this aim, the objective of our study was to analyze the effect of socioeconomic inequalities, both at the individual and area of residence levels, on the probability of COVID-19 confirmed infection, and its variations across three pandemic waves. We conducted a retrospective cohort study and included data from all individuals tested for COVID-19 during the three waves of the pandemic, from March to December 2020 (357,989 individuals) in Aragón (Spain). We studied the effect of inequalities on the risk of having a COVID-19 confirmed diagnosis after being tested using multilevel analyses with two levels of aggregation: individuals and basic healthcare area of residence (deprivation level and type of zone). Inequalities in the risk of COVID-19 confirmed infection were observed at both the individual and area level. There was a predominance of low-paid employees living in deprived areas. Workers with low salaries, unemployed and people on minimum integration income or who no longer receive the unemployment allowance, had a higher probability of COVID-19 infection than workers with salaries ≥ €18,000 per year. Inequalities were greater in women and in the second wave. The deprivation level of areas of residence influenced the risk of COVID-19 infection, especially in the second wave. It is necessary to develop individual and area coordinated measures by areas in the control, diagnosis and treatment of the epidemic, in order to avoid an increase in the already existing inequalities.

ACS Style

Isabel Aguilar-Palacio; Lina Maldonado; Sara Malo; Raquel Sánchez-Recio; Iván Marcos-Campos; Rosa Magallón-Botaya; Mª Rabanaque. COVID-19 Inequalities: Individual and Area Socioeconomic Factors (Aragón, Spain). International Journal of Environmental Research and Public Health 2021, 18, 6607 .

AMA Style

Isabel Aguilar-Palacio, Lina Maldonado, Sara Malo, Raquel Sánchez-Recio, Iván Marcos-Campos, Rosa Magallón-Botaya, Mª Rabanaque. COVID-19 Inequalities: Individual and Area Socioeconomic Factors (Aragón, Spain). International Journal of Environmental Research and Public Health. 2021; 18 (12):6607.

Chicago/Turabian Style

Isabel Aguilar-Palacio; Lina Maldonado; Sara Malo; Raquel Sánchez-Recio; Iván Marcos-Campos; Rosa Magallón-Botaya; Mª Rabanaque. 2021. "COVID-19 Inequalities: Individual and Area Socioeconomic Factors (Aragón, Spain)." International Journal of Environmental Research and Public Health 18, no. 12: 6607.

Journal article
Published: 28 May 2021 in International Journal of Environmental Research and Public Health
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Introduction: We evaluated the effectiveness of an individual, group and community intervention to improve the glycemic control of patients with diabetes mellitus aged 45–75 years with two or three unhealthy life habits. As secondary endpoints, we evaluated the inverventions’ effectiveness on adhering to Mediterranean diet, physical activity, sedentary lifestyle, smoking and quality of life. Method: A randomized clinical cluster (health centers) trial with two parallel groups in Spain from January 2016 to December 2019 was used. Patients with diabetes mellitus aged 45–75 years with two unhealthy life habits or more (smoking, not adhering to Mediterranean diet or little physical activity) participated. Centers were randomly assigned. The sample size was estimated to be 420 people for the main outcome variable. Educational intervention was done to improve adherence to Mediterranean diet, physical activity and smoking cessation by individual, group and community interventions for 12 months. Controls received the usual health care. The outcome variables were: HbA1c (main), the Mediterranean diet adherence score (MEDAS), the international diet quality index (DQI-I), the international physical activity questionnaire (IPAQ), sedentary lifestyle, smoking ≥1 cigarette/day and the EuroQuol questionnaire (EVA-EuroQol5D5L). Results: In total, 13 control centers (n = 356) and 12 intervention centers (n = 338) were included with similar baseline conditions. An analysis for intention-to-treat was done by applying multilevel mixed models fitted by basal values and the health center: the HbA1c adjusted mean difference = −0.09 (95% CI: −0.29–0.10), the DQI-I adjusted mean difference = 0.25 (95% CI: −0.32–0.82), the MEDAS adjusted mean difference = 0.45 (95% CI: 0.01–0.89), moderate/high physical activity OR = 1.09 (95% CI: 0.64–1.86), not living a sedentary lifestyle OR = 0.97 (95% CI: 0.55–1.73), no smoking OR = 0.61 (95% CI: 0.54–1.06), EVA adjusted mean difference = −1.26 (95% CI: −4.98–2.45). Conclusions: No statistically significant changes were found for either glycemic control or physical activity, sedentary lifestyle, smoking and quality of life. The multicomponent individual, group and community interventions only showed a statistically significant improvement in adhering to Mediterranean diet. Such innovative interventions need further research to demonstrate their effectiveness in patients with poor glycemic control.

ACS Style

Francisco Represas-Carrera; Sabela Couso-Viana; Fátima Méndez-López; Bárbara Masluk; Rosa Magallón-Botaya; Jose Recio-Rodríguez; Haizea Pombo; Alfonso Leiva-Rus; Montserrat Gil-Girbau; Emma Motrico; Ruth Martí-Lluch; Francisco Gude; Ana Clavería. Effectiveness of a Multicomponent Intervention in Primary Care That Addresses Patients with Diabetes Mellitus with Two or More Unhealthy Habits, Such as Diet, Physical Activity or Smoking: Multicenter Randomized Cluster Trial (EIRA Study). International Journal of Environmental Research and Public Health 2021, 18, 5788 .

AMA Style

Francisco Represas-Carrera, Sabela Couso-Viana, Fátima Méndez-López, Bárbara Masluk, Rosa Magallón-Botaya, Jose Recio-Rodríguez, Haizea Pombo, Alfonso Leiva-Rus, Montserrat Gil-Girbau, Emma Motrico, Ruth Martí-Lluch, Francisco Gude, Ana Clavería. Effectiveness of a Multicomponent Intervention in Primary Care That Addresses Patients with Diabetes Mellitus with Two or More Unhealthy Habits, Such as Diet, Physical Activity or Smoking: Multicenter Randomized Cluster Trial (EIRA Study). International Journal of Environmental Research and Public Health. 2021; 18 (11):5788.

Chicago/Turabian Style

Francisco Represas-Carrera; Sabela Couso-Viana; Fátima Méndez-López; Bárbara Masluk; Rosa Magallón-Botaya; Jose Recio-Rodríguez; Haizea Pombo; Alfonso Leiva-Rus; Montserrat Gil-Girbau; Emma Motrico; Ruth Martí-Lluch; Francisco Gude; Ana Clavería. 2021. "Effectiveness of a Multicomponent Intervention in Primary Care That Addresses Patients with Diabetes Mellitus with Two or More Unhealthy Habits, Such as Diet, Physical Activity or Smoking: Multicenter Randomized Cluster Trial (EIRA Study)." International Journal of Environmental Research and Public Health 18, no. 11: 5788.

Public health
Published: 13 April 2021 in PeerJ
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Background The complications from coronavirus disease 2019 (COVID-19) have been the subject of study in diverse scientific reports. However, many aspects that influence the prognosis of the disease are still unknown, such as frailty, which inherently reduces resistance to disease and makes people more vulnerable. This study aimed to explore the complications of COVID-19 in patients admitted to a third-level hospital and to evaluate the relationship between these complications and frailty. Methods An observational, descriptive, prospective study was performed in 2020. A sample of 254 patients from a database of 3,112 patients admitted to a high-level hospital in Madrid, Spain was analyzed. To assess frailty (independent variable) the Clinical Frailty Scale (CFS) was used. The outcome variables were sociodemographic and clinical, which included complications, length of stay, intensive care unit (ICU) admission and prognosis. Results A total of 13.39% of the patients were pre-frail and 17.32% were frail. Frail individuals had a shorter hospital stay, less ICU admission, higher mortality and delirium, with statistical significance. Conclusion Frailty assessment is a crucial approach in patients with COVID-19, given a higher mortality rate has been demonstrated amongst frail patients. The CFS could be a predictor of mortality in COVID-19.

ACS Style

Eva María Andrés-Esteban; Manuel Quintana-Diaz; Karen Lizzette Ramírez-Cervantes; Irene Benayas-Peña; Alberto Silva-Obregón; Rosa Magallón-Botaya; Ivan Santolalla-Arnedo; Raúl Juárez-Vela; Vicente Gea-Caballero. Outcomes of hospitalized patients with COVID-19 according to level of frailty. PeerJ 2021, 9, e11260 .

AMA Style

Eva María Andrés-Esteban, Manuel Quintana-Diaz, Karen Lizzette Ramírez-Cervantes, Irene Benayas-Peña, Alberto Silva-Obregón, Rosa Magallón-Botaya, Ivan Santolalla-Arnedo, Raúl Juárez-Vela, Vicente Gea-Caballero. Outcomes of hospitalized patients with COVID-19 according to level of frailty. PeerJ. 2021; 9 ():e11260.

Chicago/Turabian Style

Eva María Andrés-Esteban; Manuel Quintana-Diaz; Karen Lizzette Ramírez-Cervantes; Irene Benayas-Peña; Alberto Silva-Obregón; Rosa Magallón-Botaya; Ivan Santolalla-Arnedo; Raúl Juárez-Vela; Vicente Gea-Caballero. 2021. "Outcomes of hospitalized patients with COVID-19 according to level of frailty." PeerJ 9, no. : e11260.

Journal article
Published: 06 April 2021 in International Journal of Environmental Research and Public Health
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Background: The prognosis of older age COVID-19 patients with comorbidities is associated with a more severe course and higher fatality rates but no analysis has yet included factors related to the geographical area/municipality in which the affected patients live, so the objective of this study was to analyse the prognosis of patients with COVID-19 in terms of sex, age, comorbidities, and geographic variables. Methods: A retrospective cohort of 6286 patients diagnosed with COVID-19 was analysed, considering demographic data, previous comorbidities and geographic variables. The main study variables were hospital admission, intensive care unit (ICU) admission and death due to worsening symptoms; and the secondary variables were sex, age, comorbidities and geographic variables (size of the area of residence, distance to the hospital and the driving time to the hospital). A comparison analysis and a multivariate Cox model were performed. Results: The multivariate Cox model showed that women had a better prognosis in any type of analysed prognosis. Most of the comorbidities studied were related to a poorer prognosis except for dementia, which is related to lower admissions and higher mortality. Suburban areas were associated with greater mortality and with less hospital or ICU admission. Distance to the hospital was also associated with hospital admission. Conclusions: Factors such as type of municipality and distance to hospital act as social health determinants. This fact must be taken account in order to stablish specifics prevention measures and treatment protocols.

ACS Style

Rosa Magallón-Botaya; Bárbara Oliván-Blázquez; Karen Ramírez-Cervantes; Fátima Méndez-López-De-La-Manzanara; Isabel Aguilar-Palacio; Marc Casajuana-Closas; Eva Andrés-Esteban. Geographic Factors Associated with Poorer Outcomes in Patients Diagnosed with COVID-19 in Primary Health Care. International Journal of Environmental Research and Public Health 2021, 18, 3842 .

AMA Style

Rosa Magallón-Botaya, Bárbara Oliván-Blázquez, Karen Ramírez-Cervantes, Fátima Méndez-López-De-La-Manzanara, Isabel Aguilar-Palacio, Marc Casajuana-Closas, Eva Andrés-Esteban. Geographic Factors Associated with Poorer Outcomes in Patients Diagnosed with COVID-19 in Primary Health Care. International Journal of Environmental Research and Public Health. 2021; 18 (7):3842.

Chicago/Turabian Style

Rosa Magallón-Botaya; Bárbara Oliván-Blázquez; Karen Ramírez-Cervantes; Fátima Méndez-López-De-La-Manzanara; Isabel Aguilar-Palacio; Marc Casajuana-Closas; Eva Andrés-Esteban. 2021. "Geographic Factors Associated with Poorer Outcomes in Patients Diagnosed with COVID-19 in Primary Health Care." International Journal of Environmental Research and Public Health 18, no. 7: 3842.

Journal article
Published: 31 March 2021 in BMC Health Services Research
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Background The objective of this study is to deepen our understanding of perceptions towards Primary Health Care Response Capacity by specifically using patients with and without mental disorders, as well as family doctors and a manager, in order to compare and endorse perspectives. For it, a qualitative study was performed. In-depth interviews were conducted with 28 patients with and without mental health disorders and focus groups were held with 21 professionals and a manager. An inductive thematic content analysis was performed in order to explore, develop and define the emergent categories of analysis. Results The fundamental domains for patients are dignity, communication, and rapid service. People with mental health problems also highlight the domain of confidentiality as relevant, while patients who do not have a mental health problem prioritize the domain of autonomy. Patients with mental health disorders report a greater number of negative experiences in relation to the domain of dignity. Patients do not consider their negative experiences to be a structural problem of the system. These findings are also endorsed by health care professionals. Conclusions It is necessary to take these results into account as responsive systems can improve service uptake, ensure adherence to treatment, and ultimately enhance patient welfare.

ACS Style

Eva Rodríguez-Eguizabal; Bárbara Oliván-Blázquez; Valle Coronado-Vázquez; Mª. Antonia Sánchez-Calavera; Mª. Josefa Gil-De-Goméz; Sergio Lafita-Mainz; África Garcia-Roy; Rosa Magallón-Botaya. Perception of the primary health care response capacity by patients with and without mental health problems, and health professionals: qualitative study. BMC Health Services Research 2021, 21, 1 -12.

AMA Style

Eva Rodríguez-Eguizabal, Bárbara Oliván-Blázquez, Valle Coronado-Vázquez, Mª. Antonia Sánchez-Calavera, Mª. Josefa Gil-De-Goméz, Sergio Lafita-Mainz, África Garcia-Roy, Rosa Magallón-Botaya. Perception of the primary health care response capacity by patients with and without mental health problems, and health professionals: qualitative study. BMC Health Services Research. 2021; 21 (1):1-12.

Chicago/Turabian Style

Eva Rodríguez-Eguizabal; Bárbara Oliván-Blázquez; Valle Coronado-Vázquez; Mª. Antonia Sánchez-Calavera; Mª. Josefa Gil-De-Goméz; Sergio Lafita-Mainz; África Garcia-Roy; Rosa Magallón-Botaya. 2021. "Perception of the primary health care response capacity by patients with and without mental health problems, and health professionals: qualitative study." BMC Health Services Research 21, no. 1: 1-12.

Preprint content
Published: 26 January 2021
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Background The prognosis of patients with COVID-19, with older age and comorbidities, is associated with a more severe course and higher fatality rates but no analysis has yet included factors related to the geographical area/municipality in which the affected patients live. So the objective of this study is to analyse the prognosis of patients with COVID-19 in terms of sex, age, comorbidities, and geographic variables. Methods A retrospective cohort of 6286 patients diagnosed with COVID-19 was analysed, considering demographic data, previous comorbidities and geographic variables. The main study variables were hospital admission, Intensive Care Unit (ICU) admission and death due to worsening symptoms; and the secondary variables were sex, age, comorbidities and geographic variables (size of the area of residence, distance to the hospital and the driving time to the hospital). A comparison analysis and a multivariate Cox model were performed. Results The multivariate Cox model showed that women had a better prognosis in any type of analysed prognosis. Most of the comorbidities studied were related to a poorer prognosis except for dementia, which is related to lower admissions and higher mortality. Suburban areas were associated with greater mortality and with less hospital or ICU admission. Distance to the hospital was also associated with hospital admission. Conclusions Factors such as type of municipality and distance to hospital act as social health determinants. This fact must be taken account in order to stablish specifics prevention measures and treatment protocols.

ACS Style

Rosa Magallón-Botaya; Bárbara Oliván-Blázquez; Karen Lizzette Ramirez-Cervantes; Fatima Mendez-Lopez de la Mazanara; Marc Casajuana-Closas; Eva Esteban-Andrés. ARE GEOGRAPHIC FACTORS ASSOCIATED WITH POORER OUTCOMES IN PATIENTS DIAGNOSED WITH COVID-19? 2021, 1 .

AMA Style

Rosa Magallón-Botaya, Bárbara Oliván-Blázquez, Karen Lizzette Ramirez-Cervantes, Fatima Mendez-Lopez de la Mazanara, Marc Casajuana-Closas, Eva Esteban-Andrés. ARE GEOGRAPHIC FACTORS ASSOCIATED WITH POORER OUTCOMES IN PATIENTS DIAGNOSED WITH COVID-19? . 2021; ():1.

Chicago/Turabian Style

Rosa Magallón-Botaya; Bárbara Oliván-Blázquez; Karen Lizzette Ramirez-Cervantes; Fatima Mendez-Lopez de la Mazanara; Marc Casajuana-Closas; Eva Esteban-Andrés. 2021. "ARE GEOGRAPHIC FACTORS ASSOCIATED WITH POORER OUTCOMES IN PATIENTS DIAGNOSED WITH COVID-19?" , no. : 1.

Journal article
Published: 20 January 2021 in International Journal for Equity in Health
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Background There is little verified information on global healthcare utilization by irregular migrants. Understanding how immigrants use healthcare services based on their needs is crucial to establish effective health policy. We compared healthcare utilization between irregular migrants, documented migrants, and Spanish nationals in a Spanish autonomous community. Methods This retrospective, observational study included the total adult population of Aragon, Spain: 930,131 Spanish nationals; 123,432 documented migrants; and 17,152 irregular migrants. Healthcare utilization data were compared between irregular migrants, documented migrants and Spanish nationals for the year 2011. Multivariable standard or zero-inflated negative binomial regression models were generated, adjusting for age, sex, length of stay, and morbidity burden. Results The average annual use of healthcare services was lower for irregular migrants than for documented migrants and Spanish nationals at all levels of care analyzed: primary care (0.5 vs 4 vs 6.7 visits); specialized care (0.2 vs 1.8 vs 2.9 visits); planned hospital admissions (0.3 vs 2 vs 4.23 per 100 individuals), unplanned hospital admissions (0.5 vs 3.5 vs 5.2 per 100 individuals), and emergency room visits (0.4 vs 2.8 vs 2.8 per 10 individuals). The average annual prescription drug expenditure was also lower for irregular migrants (€9) than for documented migrants (€77) and Spanish nationals (€367). These differences were only partially attenuated after adjusting for age, sex, and morbidity burden. Conclusions Under conditions of equal access, healthcare utilization is much lower among irregular migrants than Spanish nationals (and lower than that of documented migrants), regardless of country of origin or length of stay in Spain.

ACS Style

Luis Andrés Gimeno-Feliu; Marta Pastor-Sanz; Beatriz Poblador-Plou; Amaia Calderón-Larrañaga; Esperanza Díaz; Alexandra Prados-Torres. Overuse or underuse? Use of healthcare services among irregular migrants in a north-eastern Spanish region. International Journal for Equity in Health 2021, 20, 1 -11.

AMA Style

Luis Andrés Gimeno-Feliu, Marta Pastor-Sanz, Beatriz Poblador-Plou, Amaia Calderón-Larrañaga, Esperanza Díaz, Alexandra Prados-Torres. Overuse or underuse? Use of healthcare services among irregular migrants in a north-eastern Spanish region. International Journal for Equity in Health. 2021; 20 (1):1-11.

Chicago/Turabian Style

Luis Andrés Gimeno-Feliu; Marta Pastor-Sanz; Beatriz Poblador-Plou; Amaia Calderón-Larrañaga; Esperanza Díaz; Alexandra Prados-Torres. 2021. "Overuse or underuse? Use of healthcare services among irregular migrants in a north-eastern Spanish region." International Journal for Equity in Health 20, no. 1: 1-11.

Journal article
Published: 15 September 2020 in Mechanisms of Ageing and Development
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Multimorbidity (MM) is a widespread problem and it poses unsolved issues like the healthcare professionals’ training. A training curriculum has been proposed, but it has not been sufficiently explored in a clinical context. The eMULTIPAP course is part of the MULTIPAP complex intervention, applied through a pragmatic controlled, cluster randomized clinical trial to general practitioners (GP) and his/her patients with MM with 12 months follow-up. The eMULTIPAP course is based on problem-based learning, constructivism and Ariadne principles. It has been assessed according to the Kirkpatrick model and has shown knowledge improvement and high applicability of learning with more motivation to consider MM in the clinical practice. It has also improved the Medication Appropriateness Index at 6-months and at 12- months. We conclude that the eMULTIPAP course generates significant changes in GP’s learning, enhancing clinical practice in multimorbidity scenarios.

ACS Style

Francisca Leiva-Fernández; Juan Daniel Prados-Torres; Alexandra Prados-Torres; Isabel Del-Cura-González; Marcos Castillo-Jimena; Juan Antonio López-Rodríguez; Maria Eloísa Rogero-Blanco; Cristina M Lozano-Hernández; Fernando López-Verde; María José Bujalance-Zafra; Maria Victoria Pico-Soler; Luis Andrés Gimeno-Feliu; Beatriz Poblador-Plou; María Teresa Martinez-Cañavate; Christiane Muth. Training primary care professionals in multimorbidity management: Educational assessment of the eMULTIPAP course. Mechanisms of Ageing and Development 2020, 192, 111354 .

AMA Style

Francisca Leiva-Fernández, Juan Daniel Prados-Torres, Alexandra Prados-Torres, Isabel Del-Cura-González, Marcos Castillo-Jimena, Juan Antonio López-Rodríguez, Maria Eloísa Rogero-Blanco, Cristina M Lozano-Hernández, Fernando López-Verde, María José Bujalance-Zafra, Maria Victoria Pico-Soler, Luis Andrés Gimeno-Feliu, Beatriz Poblador-Plou, María Teresa Martinez-Cañavate, Christiane Muth. Training primary care professionals in multimorbidity management: Educational assessment of the eMULTIPAP course. Mechanisms of Ageing and Development. 2020; 192 ():111354.

Chicago/Turabian Style

Francisca Leiva-Fernández; Juan Daniel Prados-Torres; Alexandra Prados-Torres; Isabel Del-Cura-González; Marcos Castillo-Jimena; Juan Antonio López-Rodríguez; Maria Eloísa Rogero-Blanco; Cristina M Lozano-Hernández; Fernando López-Verde; María José Bujalance-Zafra; Maria Victoria Pico-Soler; Luis Andrés Gimeno-Feliu; Beatriz Poblador-Plou; María Teresa Martinez-Cañavate; Christiane Muth. 2020. "Training primary care professionals in multimorbidity management: Educational assessment of the eMULTIPAP course." Mechanisms of Ageing and Development 192, no. : 111354.

Journal article
Published: 02 September 2020 in Nutrients
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The purpose of this study is to understand the health-related quality of life (HRQoL) in patients with celiac disease (CD) and analyze its main determinants. A transversal descriptive study of 738 patients with celiac disease was carried out. A series of questionnaires were answered related to their HRQoL, adherence to a gluten-free diet (GFD), and self-efficacy beliefs among other relevant variables. Regression analyses were carried out in order to explore the predictive variables in adherence to the GFD and HRQoL. A total of 61.2% showed a good HRQoL, and the main predictors of HRQoL were specific self-efficacy, adherence to the diet, risk perception, time since diagnosis, and age. While 68.7% of participants showed good or excellent adherence to the GFD, and the main predictors of adherence were specific self-efficacy, perceived adoption of recommended behaviors, HRQoL and gender. The HRQoL of patients with CD, and adherence to the GFD in Spain, are good. It is the self-efficacy expectation, measured specifically and not generally, which is the best predictor of both adherence and HRQoL. It is necessary to develop programs to improve the HRQoL of patients with CD that focus on improving specific self-efficacy.

ACS Style

Ricardo Fueyo-Díaz; Miguel Montoro; Rosa Magallón-Botaya; Santiago Gascón-Santos; Ángela Asensio-Martínez; Guillermo Palacios-Navarro; Juan Sebastián-Domingo. Influence of Compliance to Diet and Self-Efficacy Expectation on Quality of Life in Patients with Celiac Disease in Spain. Nutrients 2020, 12, 2672 .

AMA Style

Ricardo Fueyo-Díaz, Miguel Montoro, Rosa Magallón-Botaya, Santiago Gascón-Santos, Ángela Asensio-Martínez, Guillermo Palacios-Navarro, Juan Sebastián-Domingo. Influence of Compliance to Diet and Self-Efficacy Expectation on Quality of Life in Patients with Celiac Disease in Spain. Nutrients. 2020; 12 (9):2672.

Chicago/Turabian Style

Ricardo Fueyo-Díaz; Miguel Montoro; Rosa Magallón-Botaya; Santiago Gascón-Santos; Ángela Asensio-Martínez; Guillermo Palacios-Navarro; Juan Sebastián-Domingo. 2020. "Influence of Compliance to Diet and Self-Efficacy Expectation on Quality of Life in Patients with Celiac Disease in Spain." Nutrients 12, no. 9: 2672.

Research article
Published: 07 August 2020 in Medicine
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Background: Shared decision making (SDM) is a process within the physician–patient relationship applicable to any clinical action, whether diagnostic, therapeutic, or preventive in nature. It has been defined as a process of mutual respect and participation between the doctor and the patient. The aim of this study is to determine the effectiveness of decision aids (DA) in primary care based on changes in adherence to treatments, knowledge, and awareness of the disease, conflict with decisions, and patients’ and health professionals’ satisfaction with the intervention. Methods: A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted in Medline, CINAHL, Embase, the Cochrane Central Register of Controlled Trials, and the NHS Economic Evaluation Database. The inclusion criteria were randomized clinical trials as study design; use of SDM with DA as an intervention; primary care as clinical context; written in English, Spanish, and Portuguese; and published between January 2007 and January 2019. The risk of bias of the included studies in this review was assessed according to the Cochrane Collaboration's tool. Results: Twenty four studies were selected out of the 201 references initially identified. With the use of DA, the use of antibiotics was reduced in cases of acute respiratory infection and decisional conflict was decreased when dealing with the treatment choice for atrial fibrillation and osteoporosis. The rate of determination of prostate-specific antigen (PSA) in the prostate cancer screening decreased and colorectal cancer screening increased. Both professionals and patients increased their knowledge about depression, type 2 diabetes, and the perception of risk of acute myocardial infarction at 10 years without statins and with statins. The satisfaction was greater with the use of DA in choosing the treatment for depression, in cardiovascular risk management, in the treatment of low back pain, and in the use of statin therapy in diabetes. Blinding of outcomes assessment was the most common bias. Conclusions: DA used in primary care are effective to reduce decisional conflict and improve knowledge on the disease and treatment options, awareness of risk, and satisfaction with the decisions made. More studies are needed to assess the impact of shared decision making in primary care.

ACS Style

Valle Coronado-Vázquez; Carlota Canet-Fajas; Maria Teresa Delgado-Marroquín; Rosa Magallon; Macarena Romero-Martín; Juan Gómez-Salgado. Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care. Medicine 2020, 99, e21389 .

AMA Style

Valle Coronado-Vázquez, Carlota Canet-Fajas, Maria Teresa Delgado-Marroquín, Rosa Magallon, Macarena Romero-Martín, Juan Gómez-Salgado. Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care. Medicine. 2020; 99 (32):e21389.

Chicago/Turabian Style

Valle Coronado-Vázquez; Carlota Canet-Fajas; Maria Teresa Delgado-Marroquín; Rosa Magallon; Macarena Romero-Martín; Juan Gómez-Salgado. 2020. "Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care." Medicine 99, no. 32: e21389.

Journal article
Published: 27 July 2020 in Healthcare
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A health system’s responsiveness is the result of patient expectations for the non-medical care they receive. The objective of this study was to assess mental patients’ responsiveness to the health system in primary care, as related to the domains of dignity, autonomy, confidentiality, and communication. Data were collected from 215 people over the age of 18 with mental disorders, using the Multi-Country Survey Study (MCSS) developed by the World Health Organization. Of them, 95% reported a good experience regarding the dignity, confidentiality, communication, and autonomy domains. Regarding responsiveness, patients valued the dignity domain as the most important one (25.1%). Among the patients who experienced poor confidentiality, five out of seven earned less than 900 euros per month (Χ2 = 10.8, p = 0.004). Among those who experienced good autonomy, 85 out of 156 belonged to the working social class (90.4%), and among those who valued it as poor (16.1%), the highest proportion was for middle class people (Χ2 = 13.1, p = 0.028). The two students and 87.5% of retirees experienced this dimension as good, and most patients who valued it as poor were unemployed (43.5%) (Χ2 = 13.0, p = 0.011). Patients with a household income higher than 900 euros more frequently valued responsiveness as good, regarding those domains related to communication, with OR = 3.84, 95% CI = 1.05–14.09, and confidentiality, with OR = 10.48, 95% CI = 1.94–56.59. To conclude, as regards responsiveness in primary care, the dignity domain always obtained the best scores by people with mental disorders. Low economic income is related to a poor assessment of confidentiality. Working class patients, students, and retirees value autonomy as good.

ACS Style

Valle Coronado-Vázquez; Dolores Museros-Sos; Bárbara Oliván-Blázquez; María Rosa Magallón Botaya; Juan Gómez-Salgado; María Sánchez-Calavera; Bárbara Masluk; María Gil-De-Gómez; Eva Rodríguez-Eguizábal. Mental Health Patients’ Expectations about the Non-Medical Care They Receive in Primary Care: A Cross-Sectional Descriptive Study. Healthcare 2020, 8, 235 .

AMA Style

Valle Coronado-Vázquez, Dolores Museros-Sos, Bárbara Oliván-Blázquez, María Rosa Magallón Botaya, Juan Gómez-Salgado, María Sánchez-Calavera, Bárbara Masluk, María Gil-De-Gómez, Eva Rodríguez-Eguizábal. Mental Health Patients’ Expectations about the Non-Medical Care They Receive in Primary Care: A Cross-Sectional Descriptive Study. Healthcare. 2020; 8 (3):235.

Chicago/Turabian Style

Valle Coronado-Vázquez; Dolores Museros-Sos; Bárbara Oliván-Blázquez; María Rosa Magallón Botaya; Juan Gómez-Salgado; María Sánchez-Calavera; Bárbara Masluk; María Gil-De-Gómez; Eva Rodríguez-Eguizábal. 2020. "Mental Health Patients’ Expectations about the Non-Medical Care They Receive in Primary Care: A Cross-Sectional Descriptive Study." Healthcare 8, no. 3: 235.

Journal article
Published: 17 July 2020 in International Journal of Environmental Research and Public Health
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We aimed to analyze baseline socio-demographic and clinical factors associated with an increased likelihood of mortality in men and women with coronavirus disease (COVID-19). We conducted a retrospective cohort study (PRECOVID Study) on all 4412 individuals with laboratory-confirmed COVID-19 in Aragon, Spain, and followed them for at least 30 days from cohort entry. We described the socio-demographic and clinical characteristics of all patients of the cohort. Age-adjusted logistic regressions models were performed to analyze the likelihood of mortality based on demographic and clinical variables. All analyses were stratified by sex. Old age, specific diseases such as diabetes, acute myocardial infarction, or congestive heart failure, and dispensation of drugs like vasodilators, antipsychotics, and potassium-sparing agents were associated with an increased likelihood of mortality. Our findings suggest that specific comorbidities, mainly of cardiovascular nature, and medications at the time of infection could explain around one quarter of the mortality in COVID-19 disease, and that women and men probably share similar but not identical risk factors. Nonetheless, the great part of mortality seems to be explained by other patient- and/or health-system-related factors. More research is needed in this field to provide the necessary evidence for the development of early identification strategies for patients at higher risk of adverse outcomes.

ACS Style

Beatriz Poblador-Plou; Jonás Carmona-Pírez; Ignatios Ioakeim-Skoufa; Antonio Poncel-Falcó; Kevin Bliek-Bueno; Mabel Cano-Del Pozo; Luis Andrés Gimeno-Feliú; Francisca González-Rubio; Mercedes Aza-Pascual-Salcedo; Ana Cristina Bandrés-Liso; Jesús Díez-Manglano; Javier Marta-Moreno; Sara Mucherino; Antonio Gimeno-Miguel; Alexandra Prados-Torres; EpiChron Group. Baseline Chronic Comorbidity and Mortality in Laboratory-Confirmed COVID-19 Cases: Results from the PRECOVID Study in Spain. International Journal of Environmental Research and Public Health 2020, 17, 5171 .

AMA Style

Beatriz Poblador-Plou, Jonás Carmona-Pírez, Ignatios Ioakeim-Skoufa, Antonio Poncel-Falcó, Kevin Bliek-Bueno, Mabel Cano-Del Pozo, Luis Andrés Gimeno-Feliú, Francisca González-Rubio, Mercedes Aza-Pascual-Salcedo, Ana Cristina Bandrés-Liso, Jesús Díez-Manglano, Javier Marta-Moreno, Sara Mucherino, Antonio Gimeno-Miguel, Alexandra Prados-Torres, EpiChron Group. Baseline Chronic Comorbidity and Mortality in Laboratory-Confirmed COVID-19 Cases: Results from the PRECOVID Study in Spain. International Journal of Environmental Research and Public Health. 2020; 17 (14):5171.

Chicago/Turabian Style

Beatriz Poblador-Plou; Jonás Carmona-Pírez; Ignatios Ioakeim-Skoufa; Antonio Poncel-Falcó; Kevin Bliek-Bueno; Mabel Cano-Del Pozo; Luis Andrés Gimeno-Feliú; Francisca González-Rubio; Mercedes Aza-Pascual-Salcedo; Ana Cristina Bandrés-Liso; Jesús Díez-Manglano; Javier Marta-Moreno; Sara Mucherino; Antonio Gimeno-Miguel; Alexandra Prados-Torres; EpiChron Group. 2020. "Baseline Chronic Comorbidity and Mortality in Laboratory-Confirmed COVID-19 Cases: Results from the PRECOVID Study in Spain." International Journal of Environmental Research and Public Health 17, no. 14: 5171.

Journal article
Published: 06 July 2020 in International Journal for Equity in Health
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Background There is little verified information on the global health status of undocumented migrants (UMs). Our aim is to compare the prevalence of the main chronic diseases and of multimorbidity in undocumented migrants, documented migrants, and Spanish nationals in a Spanish autonomous community. Methods Retrospective observational study of all users of the public health system of the region of Aragon over 1 year (2011): 930,131 Spanish nationals; 123,432 documented migrants (DMs); and 17,152 UMs. Binary logistic regression was performed to examine the association between migrant status (Spanish nationals versus DMs and UMs) and both multimorbidity and individual chronic diseases, adjusting for age and sex. Results The prevalence of individual chronic diseases in UMs was lower than in DMs and much lower than in Spanish nationals. Comparison with the corresponding group of Spanish nationals revealed odds ratios (OR) of 0.1–0.3 and 0.3–0.5 for male and female UMs, respectively (p < 0.05 in all cases). The risk of multimorbidity was lower for UMs than DMs, both for men (OR, 0.12; 95%CI 0.11–0.13 versus OR, 0.53; 95%CI 0.51–0.54) and women (OR, 0.18; 95%CI 0.16–0.20 versus OR, 0.74; 95%CI 0.72–0.75). Conclusions Analysis of data from a health system that offers universal coverage to all immigrants, irrespective of legal status, reveals that the prevalence of chronic disease and multimorbidity is lower in UMs as compared with both DMs and Spanish nationals. These findings refute previous claims that the morbidity burden in UM populations is higher than that of the native population of the host country.

ACS Style

Luis Andrés Gimeno-Feliu; Marta Pastor-Sanz; Beatriz Poblador-Plou; Amaia Calderón-Larrañaga; Esperanza Díaz; Alexandra Prados-Torres. Multimorbidity and chronic diseases among undocumented migrants: evidence to contradict the myths. International Journal for Equity in Health 2020, 19, 1 .

AMA Style

Luis Andrés Gimeno-Feliu, Marta Pastor-Sanz, Beatriz Poblador-Plou, Amaia Calderón-Larrañaga, Esperanza Díaz, Alexandra Prados-Torres. Multimorbidity and chronic diseases among undocumented migrants: evidence to contradict the myths. International Journal for Equity in Health. 2020; 19 (1):1.

Chicago/Turabian Style

Luis Andrés Gimeno-Feliu; Marta Pastor-Sanz; Beatriz Poblador-Plou; Amaia Calderón-Larrañaga; Esperanza Díaz; Alexandra Prados-Torres. 2020. "Multimorbidity and chronic diseases among undocumented migrants: evidence to contradict the myths." International Journal for Equity in Health 19, no. 1: 1.

Journal article
Published: 06 July 2020
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There is little verified information on the global health status of undocumented migrants (UMs). Our aim is to compare the prevalence of the main chronic diseases and of multimorbidity in undocumented migrants, documented migrants, and Spanish nationals in a Spanish autonomous community. Retrospective observational study of all users of the public health system of the region of Aragon over 1 year (2011): 930,131 Spanish nationals; 123,432 documented migrants (DMs); and 17,152 UMs. Binary logistic regression was performed to examine the association between migrant status (Spanish nationals versus DMs and UMs) and both multimorbidity and individual chronic diseases, adjusting for age and sex. The prevalence of individual chronic diseases in UMs was lower than in DMs and much lower than in Spanish nationals. Comparison with the corresponding group of Spanish nationals revealed odds ratios (OR) of 0.1-0.3 and 0.3-0.5 for male and female UMs, respectively (p < 0.05 in all cases). The risk of multimorbidity was lower for UMs than DMs, both for men (OR, 0.12; 95%CI 0.11-0.13 versus OR, 0.53; 95%CI 0.51-0.54) and women (OR, 0.18; 95%CI 0.16-0.20 versus OR, 0.74; 95%CI 0.72-0.75). Analysis of data from a health system that offers universal coverage to all immigrants, irrespective of legal status, reveals that the prevalence of chronic disease and multimorbidity is lower in UMs as compared with both DMs and Spanish nationals. These findings refute previous claims that the morbidity burden in UM populations is higher than that of the native population of the host country.

ACS Style

Luis Andrés Gimeno-Feliu; Marta Pastor-Sanz; Beatriz Poblador-Plou; Amaia Calderón-Larrañaga; Esperanza Díaz; Alexandra Prados-Torres. Multimorbidity and chronic diseases among undocumented migrants: evidence to contradict the myths. 2020, 19, 113 .

AMA Style

Luis Andrés Gimeno-Feliu, Marta Pastor-Sanz, Beatriz Poblador-Plou, Amaia Calderón-Larrañaga, Esperanza Díaz, Alexandra Prados-Torres. Multimorbidity and chronic diseases among undocumented migrants: evidence to contradict the myths. . 2020; 19 (1):113.

Chicago/Turabian Style

Luis Andrés Gimeno-Feliu; Marta Pastor-Sanz; Beatriz Poblador-Plou; Amaia Calderón-Larrañaga; Esperanza Díaz; Alexandra Prados-Torres. 2020. "Multimorbidity and chronic diseases among undocumented migrants: evidence to contradict the myths." 19, no. 1: 113.

Research article
Published: 24 June 2020 in PLoS ONE
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To estimate the prevalence of nonadherence to treatment and its relationship with social support and social context in patients with multimorbidity and polypharmacy followed-up in primary care. This was an observational, descriptive, cross-sectional, multicenter study with an analytical approach. A total of 593 patients between 65–74 years of age with multimorbidity (≥3 diseases) and polypharmacy (≥5 drugs) during the last three months and agreed to participate in the MULTIPAP Study. The main variable was adherence (Morisky-Green). The predictors were social support (structural support and functional support (DUFSS)); sociodemographic variables; indicators of urban objective vulnerability; health-related quality of life (EQ-5D-5L-VAS & QALY); and clinical variables. Descriptive, bivariate and multivariate analyses with logistic regression models and robust estimators were performed. Four out of ten patients were nonadherent, 47% had not completed primary education, 28.7% had an income ≤1050 €/month, 35% reported four or more IUVs, and the average perceived health-related quality of life (HRQOL) EQ-5D-5L-VAS was 65.5. The items that measure functional support, with significantly different means between nonadherent and adherent patients were receiving love and affection (-0.23; 95%CI: -0.40;-0.06), help when ill (-0.25; 95%CI: -0.42;-0.08), useful advice (-0.20; 95%CI: -0.37;-0.02), social invitations (-0.22; 95%CI:-0.44;-0.01), and recognition (-0.29; 95%CI:-0.50;-0.08). Factors associated with nonadherence were belonging to the medium vs. low tertile of functional support (0.62; 95%CI: 0.42;0.94), reporting less than four IUVs (0.69; 95%CI: 0.46;1.02) and higher HRQOL perception (0.98; 95%CI: 0.98;0.99). Among patients 65–74 years of age with multimorbidity and polypharmacy, lower functional support was related to nonadherence to treatment. The nonadherence decreased in those patients with higher functional support, lower urban vulnerability and higher perceived health status according to the visual analog scale of health-related quality of life.

ACS Style

Cristina M. Lozano-Hernández; Juan A. López-Rodríguez; Francisca Leiva-Fernández; Amaia Calderón-Larrañaga; Jaime Barrio-Cortes; Luis A. Gimeno-Feliu; Beatriz Poblador-Plou; Isabel Del Cura-González; MultiPAP Group. Social support, social context and nonadherence to treatment in young senior patients with multimorbidity and polypharmacy followed-up in primary care. MULTIPAP Study. PLoS ONE 2020, 15, e0235148 .

AMA Style

Cristina M. Lozano-Hernández, Juan A. López-Rodríguez, Francisca Leiva-Fernández, Amaia Calderón-Larrañaga, Jaime Barrio-Cortes, Luis A. Gimeno-Feliu, Beatriz Poblador-Plou, Isabel Del Cura-González, MultiPAP Group. Social support, social context and nonadherence to treatment in young senior patients with multimorbidity and polypharmacy followed-up in primary care. MULTIPAP Study. PLoS ONE. 2020; 15 (6):e0235148.

Chicago/Turabian Style

Cristina M. Lozano-Hernández; Juan A. López-Rodríguez; Francisca Leiva-Fernández; Amaia Calderón-Larrañaga; Jaime Barrio-Cortes; Luis A. Gimeno-Feliu; Beatriz Poblador-Plou; Isabel Del Cura-González; MultiPAP Group. 2020. "Social support, social context and nonadherence to treatment in young senior patients with multimorbidity and polypharmacy followed-up in primary care. MULTIPAP Study." PLoS ONE 15, no. 6: e0235148.

Journal article
Published: 14 June 2020 in International Journal of Environmental Research and Public Health
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The correct management of patients with multimorbidity remains one of the main challenges for healthcare systems worldwide. In this study, we analyze the existence of multimorbidity patterns in the general population based on gender and age. We conducted a cross-sectional study of individuals of all ages from the EpiChron Cohort, Spain (1,253,292 subjects), and analyzed the presence of systematic associations among chronic disease diagnoses using exploratory factor analysis. We identified and clinically described a total of 14 different multimorbidity patterns (12 in women and 12 in men), with some relevant differences in the functions of age and gender. The number and complexity of the patterns was shown to increase with age in both genders. We identified associations of circulatory diseases with respiratory disorders, chronic musculoskeletal diseases with depression and anxiety, and a very consistent pattern of conditions whose co-occurrence is known as metabolic syndrome (hypertension, diabetes, obesity, and dyslipidaemia), among others. Our results demonstrate the potential of using real-world data to conduct large-scale epidemiological studies to assess the complex interactions among chronic conditions. This could be useful in designing clinical interventions for patients with multimorbidity, as well as recommendations for healthcare professionals on how to handle these types of patients in clinical practice.

ACS Style

Ignatios Ioakeim-Skoufa; Beatriz Poblador-Plou; Jonás Carmona-Pírez; Jesús Díez-Manglano; Rokas Navickas; Luis Andrés Gimeno-Feliu; Francisca González-Rubio; Elena Jureviciene; Laimis Dambrauskas; Alexandra Prados-Torres; Antonio Gimeno-Miguel. Multimorbidity Patterns in the General Population: Results from the EpiChron Cohort Study. International Journal of Environmental Research and Public Health 2020, 17, 1 .

AMA Style

Ignatios Ioakeim-Skoufa, Beatriz Poblador-Plou, Jonás Carmona-Pírez, Jesús Díez-Manglano, Rokas Navickas, Luis Andrés Gimeno-Feliu, Francisca González-Rubio, Elena Jureviciene, Laimis Dambrauskas, Alexandra Prados-Torres, Antonio Gimeno-Miguel. Multimorbidity Patterns in the General Population: Results from the EpiChron Cohort Study. International Journal of Environmental Research and Public Health. 2020; 17 (12):1.

Chicago/Turabian Style

Ignatios Ioakeim-Skoufa; Beatriz Poblador-Plou; Jonás Carmona-Pírez; Jesús Díez-Manglano; Rokas Navickas; Luis Andrés Gimeno-Feliu; Francisca González-Rubio; Elena Jureviciene; Laimis Dambrauskas; Alexandra Prados-Torres; Antonio Gimeno-Miguel. 2020. "Multimorbidity Patterns in the General Population: Results from the EpiChron Cohort Study." International Journal of Environmental Research and Public Health 17, no. 12: 1.

Original research article
Published: 12 June 2020 in Frontiers in Psychology
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Negotiation is the main mean of conflict resolution. Despite its capital importance, little is known about influencing variables or effective interventions. Mindfulness has shown to improve subjects’ performance in different settings but until now, no study has shown its impact in negotiation. The aim of this study is to analyze which variables are associated with effectiveness and to determine if meditators are more effective in negotiation. A cross-sectional descriptive study was carried out. The study variables were: socio-demographic variables, negotiation effectiveness (Negotiation Effectiveness Questionnaire), mindfulness (Five Facets of Mindfulness Questionnaire), emotional intelligence (Trait Meta-Mood Scale Questionnaire), personality (NEO-FFI personality inventory), motivation (McClelland Questionnaire), and negotiation style (Rahim Organizational Conflict Inventory-II). A correlational study and a multivariate model were developed. Negotiation effectiveness was associated with age, mindfulness, emotional intelligence, extraversion, openness, conscientiousness, achievement motivation, integrating, dominating, and compromising negotiation styles and inversely correlated toward neuroticism. The effectiveness of the negotiation is explained by the variables clarity, age, conscientiousness, dominating, and compromising style. Meditators were found to be more effective than non-meditators.

ACS Style

María C. Pérez-Yus; Ester Ayllón-Negrillo; Gabriela Delsignore; Rosa Magallon; Alejandra Aguilar-Latorre; Bárbara Oliván Blazquez. Variables Associated With Negotiation Effectiveness: The Role of Mindfulness. Frontiers in Psychology 2020, 11, 1 .

AMA Style

María C. Pérez-Yus, Ester Ayllón-Negrillo, Gabriela Delsignore, Rosa Magallon, Alejandra Aguilar-Latorre, Bárbara Oliván Blazquez. Variables Associated With Negotiation Effectiveness: The Role of Mindfulness. Frontiers in Psychology. 2020; 11 ():1.

Chicago/Turabian Style

María C. Pérez-Yus; Ester Ayllón-Negrillo; Gabriela Delsignore; Rosa Magallon; Alejandra Aguilar-Latorre; Bárbara Oliván Blazquez. 2020. "Variables Associated With Negotiation Effectiveness: The Role of Mindfulness." Frontiers in Psychology 11, no. : 1.

Research article
Published: 21 May 2020 in PLoS ONE
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Depression is one of the most prevalent health problems, frequently being a medium- and long-term condition, with a high comorbidity rate and with frequent relapses and recurrences. Although numerous studies have compared the effectiveness of specific antidepressant therapy drugs and have assessed relapses, scientific evidence on the relationship between pharmacologic treatments and recurrence is scarce. The objective of this study is to describe depressive episodes in a primary care patient cohort, the percentage of depression recurrences and the administered pharmacologic treatment, from a naturalistic perspective. Retrospective descriptive study. 957 subjects were included. The dependent variable was a depression diagnosis and independent variables were: gender, age at time of data collection; age of onset, first-episode treatment, number of recurrences, age at recurrences, treatment prescribed for recurrences using therapeutic groups categorization. Recurrences are frequent, affecting more than 40% of the population. In the first episode, 13.69% of the patients were not prescribed pharmacological treatment, but this percentage decreased over the following depression episodes. 80.9% of the patients who did not receive drug treatment in the first depression episode did not experience subsequent episodes. Monotherapy, and specifically, SSRIs were the most frequently prescribed treatment option for all depressive episodes. Regards the combined pharmacologic treatment, the most frequent drug combinations were SSRIs and benzodiazepines. In order to increase the power of results, the statistical analysis was performed using therapeutic groups categorization, not individually analyzing each drug and dose. Depressive episode recurrence is frequent in primary care patients. Further studies having a prospective design are needed in order to expand on this issue.

ACS Style

Shysset Nuggerud-Galeas; Loreto Sáez-Benito Suescun; Nuria Berenguer Torrijo; Ana Sáez-Benito Suescun; Alejandra Aguilar-Latorre; María Rosa Magallón Botaya; Bárbara Oliván Blazquez. Analysis of depressive episodes, their recurrence and pharmacologic treatment in primary care patients: A retrospective descriptive study. PLoS ONE 2020, 15, e0233454 .

AMA Style

Shysset Nuggerud-Galeas, Loreto Sáez-Benito Suescun, Nuria Berenguer Torrijo, Ana Sáez-Benito Suescun, Alejandra Aguilar-Latorre, María Rosa Magallón Botaya, Bárbara Oliván Blazquez. Analysis of depressive episodes, their recurrence and pharmacologic treatment in primary care patients: A retrospective descriptive study. PLoS ONE. 2020; 15 (5):e0233454.

Chicago/Turabian Style

Shysset Nuggerud-Galeas; Loreto Sáez-Benito Suescun; Nuria Berenguer Torrijo; Ana Sáez-Benito Suescun; Alejandra Aguilar-Latorre; María Rosa Magallón Botaya; Bárbara Oliván Blazquez. 2020. "Analysis of depressive episodes, their recurrence and pharmacologic treatment in primary care patients: A retrospective descriptive study." PLoS ONE 15, no. 5: e0233454.

Review
Published: 27 February 2020 in Eurosurveillance
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Background Chagas disease has spread beyond its original borders on the American continent with migration. It can be transmitted from mother to child, through organ transplantation and transfusion of blood and blood products. It is necessary to determine when to screen for this infection. Aim Our objective was to evaluate the appropriateness of screening for Trypanosoma cruzi infection in Latin American migrants and their descendants. Methods We reviewed the literature using rigorous criteria. The quality of evidence was ranked according to the GRADE classification. An evidence to decision framework was adopted to provide information on the most relevant aspects necessary to formulate recommendations. Results The 33 studies evaluated revealed a prevalence of T. cruzi infection among Latin American migrants in Europe of 6.08% (95% confidence interval (CI): 3.24–9.69; 28 studies). Vertical transmission occurred in three of 100 live births (95% CI: 1–6; 13 studies). The prevalence of cardiovascular disease was 19% (95% CI: 13–27; nine studies), including only 1% severe cardiac events (95% CI: 0–2; 11 studies). The overall quality of evidence was low because of risk of bias in the studies and considerable heterogeneity of the evaluated populations. The recommendations took into account economic studies on the value of screening strategies and studies on acceptability of screening and knowledge of the disease in the affected population. Conclusions We identified five situations in which screening for T. cruzi infection is indicated. We recommend screening persons from endemic areas and children of mothers from these areas.

ACS Style

María Velasco; Luis Andrés Gimeno-Feliú; Israel Molina; Joaquín Salas-Coronas; Ivan Solà; Begoña Monge-Maillo; Diego Torrús-Tendero; Joan Caylà; Ena Pery Niño de Guzmán; Jl Pérez Arellano; Jose A Pérez-Molina. Screening for Trypanosoma cruzi infection in immigrants and refugees: Systematic review and recommendations from the Spanish Society of Infectious Diseases and Clinical Microbiology. Eurosurveillance 2020, 25, 1900393 .

AMA Style

María Velasco, Luis Andrés Gimeno-Feliú, Israel Molina, Joaquín Salas-Coronas, Ivan Solà, Begoña Monge-Maillo, Diego Torrús-Tendero, Joan Caylà, Ena Pery Niño de Guzmán, Jl Pérez Arellano, Jose A Pérez-Molina. Screening for Trypanosoma cruzi infection in immigrants and refugees: Systematic review and recommendations from the Spanish Society of Infectious Diseases and Clinical Microbiology. Eurosurveillance. 2020; 25 (8):1900393.

Chicago/Turabian Style

María Velasco; Luis Andrés Gimeno-Feliú; Israel Molina; Joaquín Salas-Coronas; Ivan Solà; Begoña Monge-Maillo; Diego Torrús-Tendero; Joan Caylà; Ena Pery Niño de Guzmán; Jl Pérez Arellano; Jose A Pérez-Molina. 2020. "Screening for Trypanosoma cruzi infection in immigrants and refugees: Systematic review and recommendations from the Spanish Society of Infectious Diseases and Clinical Microbiology." Eurosurveillance 25, no. 8: 1900393.