Comunidad de Madrid

To describe the networks of health-promoting settings in Spain, with the aim of learning from the accumulated experience and thus contributing to their development. A document analysis of health-promoting settings in Spain using web searches and selected publications. A combination of terms and inclusion/exclusion criteria were used. The following information was collected from each network: geographic scope, name, website, settings included, objectives, number of members, whether it is a network of networks and/or integrated into a larger network. Subsequently, the Health Promotion Panel of the Public Health Commission was contacted to review the results. Sixty-seven networks were identified, of which 41 were included. All autonomous communities, except Illes Balears, Ceuta, and Melilla, have networks of health-promoting settings. The settings are varied: schools, health centers, municipalities, companies, universities, beaches, and parks. Four networks of networks and four networks integrated into a broader network were identified. Only five (12.2%) were created through legislation. Networks of health-promoting settings are a widespread model in Spain, developed across diverse scopes and contexts.

Objetivo: Garantizar una respuesta enfermera eficiente, coordinada y adaptada a las necesidades inmediatas y sostenidas de la población ante la emergencia ocasionada por la DANA en Valencia, como ejemplo de actuación estructurada a nivel nacional. Metodología: Se habilitó un centro logístico con apoyo de MAPFRE y se implementó un software de gestión. Se creó una web informativa y se centralizó la distribución de 340.000 materiales sociosanitarios en 18 localidades, priorizando colectivos vulnerables. Se colaboró con más de 100 entidades. Resultados: Participaron más de 100 voluntarios, se gestionaron 150.000 € y se distribuyeron 300 deshumidificadores. Se elaboró una infografía sobre donaciones responsables, que superó las 100.000 visualizaciones en redes. Conclusión: El proyecto fue un modelo replicable de liderazgo enfermero en emergencias, basado en gestión estratégica, logística, tecnología e intervención comunitaria, mediante trabajo en red para recuperar el bienestar desde un enfoque solidario y sostenible.

Pneumococcal conjugate vaccines (PCVs) have significantly reduced disease burden caused by Streptococcus pneumoniae, a leading cause of childhood morbidity and mortality globally. The rise of non-vaccine serotypes is a frequent phenomenon after the use of these PCVs. This study is a national surveillance that includes all pneumococcal isolates causing invasive pneumococcal disease (IPD) (4,455 isolates) in the pediatric population to analyze the changes of strains with reduced susceptibility (IPD-RS) to different antibiotics (1,458 to penicillin/1,304 to erythromycin) and the impact of PCVs and COVID-19 pandemic on antibiotic resistance. Six periods are differentiated according to this decline: pre-PCV13, early PCV13, middle PCV13, late PCV13, COVID-19, and reopening. Between 2009 and 2023, overall IPD cases in Spain decreased by over 60% in children aged 1-4 years and by approximately 50% in infants under 1 year of age. Nevertheless, an increase in IPD-RS caused by non-PCV13 serotypes was observed, with serotype 24F being the most prevalent, which is not included in the currently licensed PCVs. The introduction of PCV13 showed a substantial impact on reducing IPD in children. The COVID-19 pandemic led to a temporary decline in the burden of disease caused by resistant strains in 2020 due to non-pharmacological measures followed by a subsequent recovery.

The article analyses the evolution of the ecclesiastical procedural discipline, the modifications from Codex 1917 to the reform enacted by Pope Francis via m. p. Mitis Iudex Dominus Iesus (MITIS). The analysis shows that, although there have been adjustments to the rules the fundamental essence remains the same. The Second Vatican Council prompted changes relating to the evidentiary value of the declarations by the parties, but the Instruction Dignitas Connubii (IDC) limited some of the advances proposed in CIC 83. The main innovation in the MITIS reform is the introduction of the brevior process, while the previous rules remain substantially unchanged. In addition, the text underscores the notion of the canonical process as a mechanism of justice predicated on the equitable presentation of interests before an impartial judge relying on substantive evidence and arguments. In conclusion, the current code provides sufficient tools for the judge to rationally assess the evidence and administer justice in the Church, ensuring that the declaration of marriage nullity is convincingly demonstrated to all.

Abstract Indigenous groups in high-income countries experience a higher risk of dementia than non-Indigenous populations. Internal causal thinking (attributing chronic diseases to factors within the individual) has been linked to healthier behaviors, but its role in cognitive health, and how trauma perceptions shape preventive behaviors, remains unclear. We investigated whether causal thinking about cognitive problems and the identification of traumatic experiences as a cause influence engagement in dementia prevention behaviors among Indigenous and non-Indigenous older adults in Chile. In a sequential mixed-method study, Mapuche (n = 167) and non-Indigenous (n = 245) adults aged ≥60 years completed open-ended questions to classify internal versus external causal thinking toward memory problems and Alzheimer’s disease (AD), and whether trauma was perceived as a cause. Dementia prevention behaviors were measured by engagement in healthy lifestyles and lifestyle-related dementia risk factors. Fully adjusted multivariate regressions showed that internal causal thinking toward memory problems and AD was associated with better prevention behaviors in the total sample (memory loss: B = −0.028, SE = 0.011, p = 0.015; AD: B = −0.043, SE = 0.014, p = 0.002). Among Mapuche participants, this association was present only for memory problems (B = −0.046, SE = 0.019, p = 0.017), while among non-Indigenous participants it was present only for AD (B = −0.052, SE = 0.018, p = 0.004). Notably, Mapuche participants were more likely to identify trauma as a cause of cognitive problems, and this was linked to more dementia risk factors (B = 0.536, SE = 0.222, p = 0.017). These findings suggest that trauma-related causal beliefs may be an important, culturally specific barrier to dementia prevention, underscoring the need to address trauma narratives alongside health education in prevention strategies

IntroductionRelapse remains a major challenge in the treatment of substance use disorders (SUDs), particularly during follow-up. Digital tools are emerging as supportive resources, but few deliver real-time interventions. This study will examine the effectiveness of a digital relapse prevention plan (DRPP) integrated into a certified mobile application to detect early risk signs and provide immediate, personalised responses.Methods and analysisA multicentre randomised controlled trial will recruit adults with SUD. Participants will be randomised to standard treatment plus a restricted app version (control) or the same treatment with the full app, including automated alerts and DRPP access (experimental). The plan can be activated manually or automatically through smartphone sensors detecting risk patterns. The primary outcome will be time to first clinical relapse, while secondary outcomes will include patient satisfaction with the DRPP, adherence and perceived emotional self-regulation. Findings are expected to provide robust evidence on the feasibility, acceptability and clinical utility of digital relapse prevention strategies.Ethics and disseminationThis study obtained ethical approval (code 25/327) from Committee of Hospital Universitario 12 de Octubre.Trial registration number:NCT07052175.