Hospital General Universitario de Albacete

Soil processes get very little attention in early education environments, in spite of the fact that soil is very important in food, water control, biodiversity, and climate change. Soil Guardians aims to fill that gap and assist in understanding soil processes in such a way that it can develop and launch a digital game that teaches soil processes in an easy-to-grasp manner for children.The game is structured around short scenarios that illustrate what may be considered typical circumstances in which soil may be expected to improve or deteriorate. Interaction between players and the game is achieved through specific actions represented by icons, and the players can immediately see what happens in the scenario. In this case, development is expected to be device independent and suited for environments in multilingual or low-resource educational environments.Currently, the project is refining its conceptual and visual language and its first level of interactive features. Priorities of development include the translation of soil functionality into engaging gameplay that is suitable for the classroom and other environments. Later on, as the game develops, it will be shaped by feedback from teaching and research professionals in terms of which scenarios and practices are reflected in real-world soil situations and teaching directions.AcknowledgementThe project is funded through the EGU Special Activity Fund 2026.

Exposomic determinants substantially influence the variability of molecular IgE-mediated sensitization in allergic rhinitis and conjunctivitis across bioclimatic regions, underscoring their relevance in precision allergology. This study aimed to characterize molecular sensitization profiles in Spanish patients with respiratory allergy from distinct geographic and climatic areas. A cross-sectional, multicenter study was performed in 12 Spanish cities. The study population comprised 291 patients diagnosed with allergic rhinitis and/or conjunctivitis according to the modified ARIA/DECA criteria. Participants underwent skin prick testing with standardized allergen extracts and multiplex molecular IgE analysis. Clinical, demographic, and regional bioclimatic variables were integrated to define exposomic sensitization patterns. Patients previously treated with allergen immunotherapy or biologics were excluded. Regional pooled sera were analyzed by ELISA and IgE immunoblotting to validate molecular data and identify IgE binding to nonrecombinant or poorly characterized allergenic components. Distinct regional sensitization profiles were identified. Grass pollen allergens predominated in oceanic and continental climates, while olive and cypress pollens were more frequent in Mediterranean areas. Sensitization to house dust mite, particularly Dermatophagoides pteronyssinus and Blomia tropicalis, was highly prevalent in subtropical and humid zones. Molecular assays confirmed skin test findings and identified major allergenic molecules, including Phl p 1, Ole e 1, Der p 1, and Der p 2, along with region-specific components such as Der p 23, Cup a 1, Alt a 1, and Pla a 2. This multicenter exposomic study demonstrated that climatic diversity modulates allergen sensitization in Spain, supporting region-tailored precision diagnostic and therapeutic strategies in respiratory allergy.

We present three cases of reconstruction of complex skin defects using pedicled flaps (gracilis, pectoralis major, and TRAM), all of which postoperatively exhibited venous congestion, characterized by cyanosis, edema, and dark bleeding on pinprick. While cumulative comorbidities increased the overall risk, potential mechanical causes included pedicle torsion or compression, hematoma, and skin–muscle island mismatch. Empirical treatment included therapeutic anticoagulation, decompression (partial suture removal and punctures), and operative revision when indicated. We compared these measures against existing literature. Because venous congestion led to partial flap loss in our series, we propose prevention and management strategies, including meticulous planning, gentle surgical technique, and early intervention, all of which are crucial for successful flap salvage.

Abstract Introduction Alcohol consumption in university students is a public health problem that is especially relevant nursing students because of their role as future health professionals. Aims To analyze the prevalence of hazardous drinkers and associated factors in nursing students from the Faculty of Nursing of Albacete, Castilla-La Mancha. Methods Descriptive cross-sectional study in 296 students of the Faculty of Nursing of Albacete (Spain) during the academic year 2023–2024. Sociodemographic variables, lifestyle habits and alcohol consumption data were collected validated questionnaires (ISCA and IPAQ-SF). Bivariate analyses and logistic regression were performed to explore associations. Results A total of 10.8% of the participants were classified as hazardous drinkers, with a higher prevalence in women (12.1%) than in men (4.2%), but the difference was not statistically significant. Smoking was associated with alcohol consumption (OR: 0.214). No significant associations were found with social class or type of coexistence, although a greater trend was observed among those who resided outside the family home. In men, coming from intermediate locations was associated with a higher prevalence of hazardous drinkers (p = 0.004). Conclusions The prevalence of hazardous drinkers in nursing students was lower than that reported in other university populations, possibly influenced by their training in health. The association between smoking and alcohol consumption is highlighted, highlighting the need for integrated preventive strategies that promote healthy habits and train these future professionals to address the risk behaviors of their patients in their clinical practice.

In recent years, many studies have characterized ambient exposure to radiofrequency electromagnetic fields (RF-EMF) in various environments. In hospitals, operating rooms accommodate many professionals for extended periods, often with waiting times during which mobile devices connected to wireless networks are used. These conditions could increase workers’ exposure during surgical procedures. This study aimed to characterize ambient RF-EMF exposure during surgical operations in 15 operating rooms at the General University Hospital and the Perpetuo Socorro Hospital in Albacete (Spain). Measurements were conducted using a Satimo EME Spy 140 exposimeter between 10 January and 3 March 2020. The device was configured to record data every 5 s from 08:30 to 15:00, selecting only periods corresponding to ongoing surgical operations. The exposimeter was mounted on a plastic tripod in a preferably central and unobstructed location, keeping a reasonable distance from walls and electronic equipment. In total, 67 surgical procedures were monitored, representing 120 h and 45 min of measurement. The highest recorded mean value was 58.82 μW/m2 on the 2.4 GHz Wi-Fi band. The exposure levels observed were comparable to those reported in other European studies conducted in indoor microenvironments. In all operating rooms analyzed, ambient exposure remained below 0.4% of the International Commission on Non-Ionizing Radiation Protection (ICNIRP, 2020) reference level, even under the least favorable conditions regarding the number of people or devices present.

The set of Public Administrations in our country is undergoing, to a greater or lesser extent, a process of digital transformation that entails significant changes, both in information flows and in organizational structures. The following study aims to provide a view of the current landscape, with a special mention of Parliaments and with a critical yet constructive vocation, for the continuous improvement of public services.

Frailty is a common condition in community-dwelling older adults with high health and socioeconomic implications. However, primary care-led randomized trials have been scarcely tested. Multicenter cluster randomized clinical trial. Two hundred and seventy-three community-dwelling older adults recruited from 12 Spanish primary care centers. independence in basic activities of daily living and either prefrailty/frailty using the frailty phenotype or gait speed < 0.8 m/s. Participants were randomized 1:1 by clusters to the intervention or the control group, each cluster being a different primary care center. Physical exercise program, nutritional recommendations, and frailty training to primary care professionals. Interventions were conducted based on the guidelines of the "Consensus document on the prevention of frailty in older adults," updated in 2022, from the Spanish Health Ministry. Usual care. Improvement in one category of the frailty phenotype or one point in the Short Physical Performance Battery (SPPB) at 12 and 32 weeks. under Intention-to-treat analysis was conducted. Mean age 78.1 years, 68.4% female. 25.7% were frail and 74.3% prefrail or with a gait speed lower than 0.8 m/s. The percentage of participants improving the main outcome at week 12 for the intervention and control groups were 70.4% and 49.5%, respectively, absolute risk reduction (ARR) 20.9% (95% confidence interval [CI] 7.3%-34.5%; p < 0.01; n = 191), number needed to treat (NNT) 4.8 (95% CI 2.9-13.6). At 32 weeks of follow-up 81.7% and 51.9% of the intervention and control group improved, respectively, ARR 29.8% (95% CI 13.8%-45.7%; p < 0.001; n = 134), NNT 3.4 (95% CI 2.2-7.2). A primary care-led intervention consisting of a physical exercise program, nutritional recommendations, and training in frailty was feasible and effective for improving frailty status or physical function in community-dwelling older adults with prefrailty or frailty. clinicaltrial.gov: NCT05002439 (18/JUN/2021).