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Virtual reality vs. buzzy®. efficacy in pain and anxiety management during pediatric venipuncture. Systematic review and meta-analysis
(Elsevier BV, 2023) Merino-Lobato, Carolina; Rodríguez-Gallego, Isabel; Pabón Carrasco, Manuel; Romero Castillo, Rocío; Jiménez Picón, Nerea; Universidad de Sevilla. Departamento de Enfermería
Problem
Non-pharmacological distraction methods are novel alternatives that can help to alleviate pain and anxiety generated by venipuncture in the pediatric population. The aim is to determine the effectiveness of virtual reality, compared to cold and vibration devices (Buzzy® device), as a distraction method used during venipuncture in the management of pain and anxiety in children.
Eligibility criteria
Clinical trials, cohort and quasi-experimental studies, published between 2017 and 2022, in Spanish or English and pediatric age, found in Medline, the Cochrane Library, Scopus, Web Of Science, CINAHL and Embase databases.
Sample
Twenty-one studies were included and ten met the criteria for meta-analysis.
Results
Fifty-seven percent of the studies evaluate virtual reality, 33.3% the Buzzy® device and 9.5% both comparatively. The effectiveness of virtual reality in reducing pain (66.6%, n = 14) and anxiety (47.6%, n = 10) compared to standard care (control group), 95% CI = 1.53 [0.91–2.16], p < 0.001, I2 = 78% and 95% CI = 1.53 [1.16–1.90]), p < 0.001, I2 = 77% respectively is demonstrated. Similarly, the effectiveness of Buzzy® in reducing pain (42.9%, n = 9) and anxiety (23.8%, n = 5), 95% CI = 1.62 [0.90–2.34], p < 0.001, I2 = 94% and 95% CI = 1.40 [0.06–2.20, p < 0.001, I2 = 91% respectively is demonstrated. Comparatively, there is no significant difference between both methods 95% CI = 0.29 [−0.19–0.78], p = 0.24, I2 = 81%.
Conclusions
The methods studied are effective in relieving pain and anxiety during venipuncture. Further research is needed on the level of satisfaction, adverse effects and cost-benefit.
Implications
This study provides evidence of novel tools in daily practice to provide more humane, holistic and quality care
Psychometric properties and confirmatory factor analysis of the love myths scale in a comparative sample by gender and across generational groups
(Springer, 2023-09-05) Jiménez Picón, Nerea; Alonso-Ruiz, M.; Romero Castillo, Rocío; Asensio-Pérez, M. R.; Martínez-Montilla, J. M.; Pabón Carrasco, Manuel; Universidad de Sevilla. Departamento de Enfermería
Introduction
Romantic love is linked to the traditional roles and to the stereotypes that depend on the place, time and sex/gender of the person. The aim was to assess the Sevillian population’s beliefs in the romantic love myths. To verify the reliability and factor structure of the Love Myths Scale.
Methods
An instrumental, descriptive and cross-sectional survey design. Non-probabilistic sampling stratified by gender. Inclusion criteria: being ≥ 18 years old, Spanish nationality and lacking previous training on gender. Exclusion: language and/or cognitive impairment and refusal to participate. A total of 562 individuals answered to the Love Myths Scale. Descriptive and inferential analysis of the variables based on gender and age with the chi-square test. Reliability of the scale with Cronbach’s alpha, exploratory and confirmatory factor analyses.
Results
The sample consisted mostly of women, aged from 18 to 63 years old, average socioeconomic level, complete High School, active workers and with partners. There are statistically significant differences in the beliefs regarding the love myths based on gender (eternal passion, omnipotence, partner, jealousy and marriage) and on age (soul mate, marriage, omnipotence and ambivalence). No measurement invariance for the sex variable and generational comparison.
Conclusions
The study contributes a current and wide perspective of the Sevillian population about the beliefs in the love myths. It shows the need to look for new tools to deal with the changes produced at generational level and the differences by sex.
A stochastic approach for solving the operating room scheduling problem
(Springer, 2018-06) Molina Pariente, José Manuel; Hans, Erwin W.; Framiñán Torres, José Manuel; Universidad de Sevilla. Departamento de Organización Industrial y Gestión de Empresas I; Ministerio de Ciencia e Innovación (MICIN). España; Junta de Andalucía
We address a stochastic operating room scheduling problem which consists of assigning an intervention date and operating room to surgeries on the waiting list, minimizing the under- and overtime costs of the operating rooms, and the cost of exceeding the capacity constraints of the system. Uncertainties in surgeries duration, in the arrivals of emergency surgeries and in surgeons’ capacity are considered. To solve the problem we propose a Monte Carlo optimization method based on the sample average approximation method, which combines an iterative greedy local search method and Monte Carlo simulation. The performance of the iterative greedy local search method is evaluated against an exact method and two existing heuristic methods for solving the deterministic version of the problem, using testbeds generated based on the literature. Finally, numerical experiments are presented to evaluate the performance of the Monte Carlo optimization method in a stochastic setting. The results show that the objective function value converges with exponential rates when the number of samples increases, obtaining an optimality index value around 1 %. By comparing the results against the solution obtained by the corresponding deterministic expected value problem, we conclude that an important cost reduction can be obtained by solving the stochastic problem rather than the deterministic one.
Comparison between customised foot orthoses and insole combined with the use of extracorporeal shock wave therapy in plantar fasciitis, medium-term follow-up results: A randomised controlled trial
(Sage, 2021) Coheña Jiménez, Manuel; Pabón Carrasco, Manuel; Pérez Belloso, Ana Juana; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. Departamento de Enfermería
Objective:
To determine the clinical results of custom-made foot orthoses versus placebo flat cushioning insoles combined with an extracorporeal shock wave therapy on pain and foot functionality in patients with plantar fasciitis.
Design and setting:
A randomised controlled clinical trial with follow-up at six months. Faculty of Podiatry and Centre Clinical private of Physiotherapy, Seville, Spain.
Subjects and interventions:
Patients with plantar fasciitis were randomly assigned to either group A (n = 42), which received custom-made foot orthoses, or group B (n = 41), which received placebo insoles. All the participants received active extracorporeal shock wave therapy including stretching exercises. Recruitment period was from Mach 2019 to July 2020.
Main measurements:
The main outcome was foot pain, measured by visual analogue scale and the secondary outcome measures were recorded by Roles and Maudsley scores respectively, at the beginning and at one week, one month and six months.
Results:
Eighty-eight patients were assessed for eligibility. Eighty-three patients were recruited and randomised. This study showed significant differences between both groups according to the visual analogue scale. In control group, the difference was at baseline (P 0.01) and, in the experimental group was at the one- and six-month follow-up (P 0.001). The mean (SD) visual analogue scale at baseline were Control group 6.31 (1.69) and Experimental group 5.27 (1.64); and at six months were 7.52 (3.40) and 3.29 (4.26), respectively. The custom-made foot orthosis was perceived as ‘good’ (85%) and ‘excellent’ (97.5%) at medium-long term.
Conclusion:Wearing a custom-made foot orthosis leads to a improvement in patients with plantar fasciitis; it reduced foot pain and improved foot functionality
Alternative General Fitting Methods for Real-Time Cell-Count Experimental Data Processing
(Institute of Electrical and Electronics Engineers, 2020-07-20) Serrano Viseas, Juan Alfonso; Pérez García, Pablo; Huertas Sánchez, Gloria; Yúfera García, Alberto; Universidad de Sevilla. Departamento de Tecnología Electrónica; Universidad de Sevilla. Departamento de Electrónica y Electromagnetismo; Ministerio de Ciencia, Innovación y Universidades (MICINN). España
This paper reports two general methods for extraction of cell-electrode electrical model parameters in cell culture (CC) assays. The presented approaches can be applied to CC assays based on electrical cell-substrate impedance spectroscopy (ECIS) technique for real-time supervision, providing the cell number per square centimeter, i.e., the cell density, as main result. Both of the proposed methods - minimization of system equations and data predictive model - search, during the experiment, the optimum values of the electrical model parameters employed for the electrode-cell model. The results of this search enable a fast and efficient calculation of the involved cell-electrode model parameters and supply real-time information on the cell number. For the sake of experimental validation, we applied the proposed methods to practical CCs in cell growth assays with a cell line of AA8 Chinese hamster ovarian fibroblasts and the Oscillation Based Test technique for bioimpedance measurements. These methods can be easily extrapolated to any general cell lines and/or other bioimpedance test methodologies.
