Hospital de Palamós

<h3>Background and Importance</h3> In Clinical Trial Units within Spanish Hospital Pharmacy Services no staffing standard has yet been established in relation to the number and complexity of trials, teaching activities derived from investigational drug management. In 2018, an exploratory survey was conducted in Spain that described the increase in complexity and the need for more staff. <h3>Aim and Objectives</h3> To analyse the current situation of clinical trial units within Spanish Hospital Pharmacy Services and the training provided to pharmacy residents (comprehensive teaching). <h3>Material and Methods</h3> An online survey was distributed to pharmacists working in Hospital Pharmacy Services across Spain. It consisted of 17 questions covering hospital characteristics, clinical trial activities, working conditions, funding, and resident training. The survey was disseminated to all members of the Spanish Society of Hospital Pharmacy between April-May 2025. Data analysis was performed using SPSS v26.0. Descriptive statistics were used for frequencies, and Chi-squared or Fisher’s exact test were applied to compare qualitative variables. <h3>Results</h3> 82 responses were collected, corresponding to 71 hospitals. Results revealed significant differences according to hospital size. Large centres (&gt;600 beds) represented 45.1% of the sample and showed greater research activity: 53.1% reported more than 250 active clinical trials, compared with 10.3% of small hospitals. Phase I research was also markedly more frequent in large hospitals (78.1% vs 23.1%). Specialised human resources were more frequently available in large centres: 65.6% employed ≥3 pharmacists dedicated to clinical trials, versus 25.6% in smaller hospitals. Digital resources showed a similar gap: 78.1% of large hospitals had dedicated software compared with 41.7% of smaller centres. With regard to resident training in clinical trials, adequate comprehensive teaching was reported in 90.6% of large hospitals, compared with 61.5% of small hospitals. These findings highlight a correlation between hospital size, research volume, and availability of specialised resources. <h3>Conclusion and Relevance</h3> Being competitive as a country in an increasingly challenging clinical research environment requires sufficient and specialised human resources, specific software, and an appropriate return on investment in Pharmacy Services. Furthermore, larger hospitals, due to their greater resource investment, tend to achieve more significant returns in terms of research output and quality, highlighting the importance of adequate infrastructure to strengthen clinical research. <h3>Conflict of Interest</h3> No conflict of interest

Background/Objectives: Hyperbaric Oxygen Therapy (HBOT) involves breathing oxygen at pressures greater than atmospheric levels and is used to treat diverse clinical conditions. However, little is known about the lived experiences and perceived needs of patients undergoing scheduled treatment in multiplace hyperbaric chambers, where nurses play a key role in support, safety, and communication. This study aimed to explore the perceptions, expectations, and needs of patients receiving scheduled HBOT sessions in a multiplace chamber in a hospital setting. Methods: A qualitative phenomenological design was used. Participants were recruited consecutively among adults who had completed at least 10 HBOT sessions and demonstrated adequate cognitive function. Individual semi-structured interviews were conducted between January and March 2023 in locations chosen by participants. Interviews were audio-recorded, transcribed, and validated by participants. Results: Twelve participants (eight men, four women; aged 25-84 years) were included. Four thematic areas emerged: (1) Biopsychosocial lived experiences, including initial uncertainty, physical discomfort such as ear pressure or mask-related issues, and progressive recognition of therapeutic benefits. (2) Interpersonal relationships, highlighting trust, security, and emotional support provided mainly by nurses. (3) Communication experiences, with participants expressing satisfaction but requesting clearer, earlier information on procedures, risks, and expected sensations. (4) Structural and organizational factors, where transportation logistics and treatment scheduling were significant sources of fatigue and discomfort. Conclusions: Patients valued HBOT and perceived notable health improvements, while identifying specific unmet informational and organizational needs. These findings suggest the importance of nurse-led educational interventions to enhance preparation, reduce anxiety, and optimize patient experience during HBOT.

ABSTRACT Reengaging patients lost to follow-up (LTFU) is crucial to achieving the UNAIDS 95-95-95 targets. This study analyses an intervention aimed at identifying and reengaging LTFU individuals in the PISCIS Cohort in Catalonia. The cohort included 28,033 people living with HIV (PLWH) across 17 hospitals in Catalonia and two in the Balearic Islands as of 2021. LTFU was defined as no contact with HIV care in any Catalan hospital for ≥12 months between June 2021 and January 2010. At four hospitals, suspected LTFU cases were confirmed through clinical records and followed up via phone calls, text messages and emails. Confirmed cases were invited to reengage in care. A total of 1,411 suspected LTFU individuals were studied. Compared to those in regular follow-up, LTFU individuals were more often male, aged 30-39, born outside Spain (64.8%) and men who have sex with men (70.4%). Of these, 27.3% could not be located, with a higher proportion born outside Spain (74.8% vs. 61.0%). Reengagement rates were low, though older individuals and women were more likely to reengage. These findings underscore the importance of accurate cohort records, systematic tracking and targeted strategies to reengage hard-to-reach LTFU patients.

ObjectiveThe well-being of primary care physicians (PCPs) has become an object of concern for governments due to staff shortages and high staff turnover. The objective of this study was to carry out a systematic review of individualised interventions aimed at improving the well-being of PCPs, which allowed us to determine (1) the type of interventions being carried out; (2) the well-being indicators being used and the instruments used to assess them; (3) the theories proposed to support the interventions and the mechanisms of action (MoA) put forward to explain the results obtained and (4) the role that individual motivation plays in the interventions to improve well-being among PCPs.DesignSystematic review.Eligibility criteriaClinical trials on interventions aimed at improving the well-being of PCPs.Information sources: a search of studies published between 2000 and 2022 was carried out in MEDLINE/PubMed, SCOPUS and Web of Science (WOS).ResultsFrom the search, 250 articles were retrieved. The two authors each reviewed the articles independently, duplicate articles and those that did not meet the inclusion criteria were discarded. A total of 14 studies that met the criteria were included: 6 randomised clinical trials, 4 controlled clinical trials and 4 unique cohorts, with a before-and-after assessment of the intervention, involving a total of 655 individuals participating in the interventions. A meta-analysis was not possible due to the heterogeneity of the studies.ConclusionsThe information evaluated is insufficient to accurately assess which outcomes are the best indicators of PCPs well-being or what role plays in the individual motivation in the results of the interventions. More studies need to be carried out on the subject to determine the MoA of the different interventions on the results and the motivation of the participating PCPs.

INTRODUÇÃO: O conhecimento das alterações orais frequentes em pacientes internados na unidade de terapia intensiva (UTI) é necessário para determinar a prevalência de alterações na cavidade oral, estabelecer correto diagnóstico, auxiliar na investigação de fatores que influenciam a condição de saúde, além de possibilitar a criação de estratégias de tratamento ao paciente. OBJETIVO: Sistematizar a partir de uma revisão de literatura sistemática, quais as alterações orais comumente identificadas na cavidade oral de pacientes internados na UTI. METODOLOGIA: Revisão sistemática considerando as publicações das bases de dados: SciELO e PubMed. Foram encontrados 72 artigos, dos quais 6 foram utilizados na integra. Os critérios de inclusão foram artigos publicados entre os anos 2010 a 2023, em língua inglesa e portuguesa. Enquanto os critérios de exclusão foram monografias, trabalhos repetidos nas bases de dados ou que não estivessem de acordo com o objetivo. RESULTADOS E DISCUSSÃO: As alterações orais apresentadas nos frequentes artigos foram: biofilme dentário, saburra lingual e ressecamento labial, fato esse que pode contribuir para complicações do quadro sistêmico do paciente devido a possibilidade de surgirem infecções oportunistas na boca e isso poder se disseminar para outros órgãos. A identificação precoce e o tratamento destas são importantes para prevenir infecções, monitorar a saúde geral, prevenir complicações respiratórias e melhorar o conforto dos pacientes. A saúde bucal desempenha um papel crucial na saúde geral, e o cuidado odontológico adequado é essencial para a recuperação e o bem-estar dos pacientes em ambiente hospitalar. CONCLUSÃO: Os artigos analisados nos permitiram reforçar a importância da presença do cirurgião-dentista em UTIs. Pois a detecção, prevenção e controle das alterações orais em pacientes internados na UTIs podem promover índices cada vez mais baixos de complicações locais e sistêmicas provenientes da cavidade oral.

importante, sobretudo na regio sudeste.Constatou-se que a forma urbana da doena crescente e necessrio entender seu carter de emergncia.Alm disso, foram observados fatores de risco para o aparecimento de tantos novos casos da doena, como a alta infestao do mosquito transmissor, o deslocamento de pessoas infectadas da rea rural para o meio urbano, favorecendo tambm novos casos de febre amarela urbana, e pessoas susceptveis ao desenvolvimento da doena.Concluso: Por tanto, notou-