Effectiveness of a healthcare-based mobile intervention on sedentary patterns, physical activity, mental well-being and clinical and productivity outcomes in office employees with type 2 diabetes: study protocol for a randomized controlled trial.

BACKGROUND: Prolonged sedentary time is associated with an increased incidence of chronic disease including type 2 diabetes mellitus (DM2). Given that occupational sedentary time contributes significantly to the total amount of daily sedentariness, incorporating programmes to reduce occupational sedentary time in patients with chronic disease would allow for physical, mental and productivity benefits. The aim of this study is to evaluate the short-, medium- and long-term effectiveness of a mHealth programme for sitting less and moving more at work on habitual and occupational sedentary behaviour and physical activity in office staff with DM2. Secondary aims. To evaluate the effectiveness on glycaemic control and lipid profile at 6- and 12-month follow-up; anthropometric profile, blood pressure, mental well-being and work-related post-intervention outcomes at 3, 6 and 12 months. METHODS: Multicentre randomized controlled trial. A sample size of 220 patients will be randomly allocated into a control (n = 110) or intervention group (n = 110), with post-intervention follow-ups at 6 and 12 months. Health professionals from Spanish Primary Health Care units will randomly invite patients (18-65 years of age) diagnosed with DM2, who have sedentary office desk-based jobs. The control group will receive usual healthcare and information on the health benefits of sitting less and moving more. The intervention group will receive, through a smartphone app and website, strategies and real-time feedback for 13 weeks to change occupational sedentary behaviour. VARIABLES: (1) Subjective and objective habitual and occupational sedentary behaviour and physical activity (Workforce Sitting Questionnaire, Brief Physical Activity Assessment Tool, activPAL3TM); 2) Glucose, HbA1c; 3) Weight, height, waist circumference; 4) Total, HDL and LDL cholesterol, triglycerides; (5) Systolic, diastolic blood pressure; (6) Mental well-being (Warwick-Edinburgh Mental Well-being); (7) Presenteeism (Work Limitations Questionnaire); (8) Impact of work on employees´ health, sickness absence (6th European Working Conditions Survey); (9) Job-related mental strain (Job Content Questionnaire). Differences between groups pre- and post- intervention on the average value of the variables will be analysed. DISCUSSION: If the mHealth intervention is effective in reducing sedentary time and increasing physical activity in office employees with DM2, health professionals would have a low-cost tool for the control of patients with chronic disease. TRIAL REGISTRATION: ClinicalTrials.gov NCT04092738. Registered September 17, 2019.

Índice de infección postoperatoria de la UCMA de un hospital comarcal, tras la implantación de la cobertura desechable en su área quirúrgica / Index of post-operative infections in the out-patient department of a hospital after implanting single use drapes in the surgical area

OBJETIVO: Determinar el porcentaje de infección postoperatoria de los procedimientos más representativos de cirugía limpia que se practican en la Unidad de Cirugía Mayor Ambulatoria de nuestro centro, antes y después de instaurar la cobertura desechable en su área quirúrgica. Describir las características de los pacientes que presenta dicha infección. MATERIAL y MÉTODO: Estudio quasi-experimental antes y después (before-after) de los pacientes intervenidos por Cirugía Mayor Ambulatoria de unos de los siguientes procedimientos quirúrgicos de cirugía limpia: hernia inguinocrural, ligadura tubárica por laparoscopia, varices y síndrome del túnel carpiano. RESULTADOS: Ha sido estudiada una muestra de 815 procedimientos quirúrgicos, 388 (47.6%) realizados mediante cobertura textil y 427 (52.4%) con cobertura desechable. El porcentaje de infección de la muestra fue de 1.7%. En el grupo de cobertura textil de 2.5% y el 1.5% en el grupo de cobertura desechable, sin ser esta diferencia estadísticamente estadísticamente significativa. No se observaron diferencias significativas entre ninguna de las características sociodemográficas y clínicas descritas, respecto a la presencia o no de infección nosocomial (AU)

OBJECTIVE: To determine the percentage of postoperative infection of the most procedures of clean surgery that take place in ambulatory surgery in our center, before and after restoring the drapes and gowns of nowoven fabric. To describe the characteristics of the patients with this infection. MATERIAL AND METHODS: Study quasi-experimental (before-after) of operated by ambulatory surgery of one of the following surgical procedures of clean surgery: hernia, laparoscopy tubaric tie, varices and syndrome of the carpian tunnel. RESULTS: A sample of 815 surgical actuations has been studied, 388 (47.6%) were surgical procedures (..) (AU)