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array:24 [ "pii" => "S2173510714000160" "issn" => "21735107" "doi" => "10.1016/j.rxeng.2014.04.004" "estado" => "S300" "fechaPublicacion" => "2014-03-01" "aid" => "621" "copyright" => "SERAM" "copyrightAnyo" => "2012" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Radiologia. 2014;56:129-35" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1371 "formatos" => array:2 [ "HTML" => 1066 "PDF" => 305 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0033833812002081" "issn" => "00338338" "doi" => "10.1016/j.rx.2012.07.006" "estado" => "S300" "fechaPublicacion" => "2014-03-01" "aid" => "621" "copyright" => "SERAM" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Radiologia. 2014;56:129-35" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2706 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 2033 "PDF" => 664 ] ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original</span>" "titulo" => "Los elementos decorativos ambientales en el Área de Imagen Médica mejoran la percepción de agradabilidad del paciente" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "129" "paginaFinal" => "135" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Decorative elements in the medical imaging area improve patients’ perception of pleasantness" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figura 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 1425 "Ancho" => 1021 "Tamanyo" => 192632 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Hoja de recogida de datos internos que se entregó a los pacientes.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. García Marcos, L. Martí-Bonmatí, J.J. Martínez, J. Vilar, N. Katic, P. Lemercier, R. Díaz Dhó" "autores" => array:7 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "García Marcos" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Martí-Bonmatí" ] 2 => array:2 [ "nombre" => "J.J." "apellidos" => "Martínez" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Vilar" ] 4 => array:2 [ "nombre" => "N." "apellidos" => "Katic" ] 5 => array:2 [ "nombre" => "P." "apellidos" => "Lemercier" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Díaz Dhó" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173510714000160" "doi" => "10.1016/j.rxeng.2014.04.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173510714000160?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0033833812002081?idApp=UINPBA00004N" "url" => "/00338338/0000005600000002/v1_201403060021/S0033833812002081/v1_201403060021/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173510714000159" "issn" => "21735107" "doi" => "10.1016/j.rxeng.2014.04.003" "estado" => "S300" "fechaPublicacion" => "2014-03-01" "aid" => "577" "copyright" => "SERAM" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Radiologia. 2014;56:136-47" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1359 "formatos" => array:2 [ "HTML" => 1096 "PDF" => 263 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Report</span>" "titulo" => "In-phase and out-of-phase single-shot magnetization-prepared gradient recalled echo: Description and optimization of technique at 1.5<span class="elsevierStyleHsp" style=""></span>T" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "136" "paginaFinal" => "147" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Secuencia de disparo único eco de gradiente en fase y fase opuesta con preparación de la magnetización: descripción y optimización de la técnica con equipo de 1,5<span class="elsevierStyleHsp" style=""></span>T" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1305 "Ancho" => 897 "Tamanyo" => 113447 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Transverse MR images in a 66-year-old man with steatosis. The liver demonstrates diffuse drop in signal intensity (SI) on out-of-phase (OP) MP-GRE OP image (A) with respect to post-optimized in-phase (IP) MP-GRE IP<span class="elsevierStyleInf">2</span> image (B), consistent with moderate diffuse fatty infiltration. The high image quality of IP MP-GRE IP<span class="elsevierStyleInf">2</span> is comparable to OP MP-GRE OP. Note also the absence of bounce-point artifacts.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Ramalho, V. Herédia, R.O.P. de Campos, M. de Toni, B.M. Dale, R.C. Semelka" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Ramalho" ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Herédia" ] 2 => array:2 [ "nombre" => "R.O.P." "apellidos" => "de Campos" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "de Toni" ] 4 => array:2 [ "nombre" => "B.M." "apellidos" => "Dale" ] 5 => array:2 [ "nombre" => "R.C." "apellidos" => "Semelka" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0033833812001063" "doi" => "10.1016/j.rx.2012.02.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0033833812001063?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173510714000159?idApp=UINPBA00004N" "url" => "/21735107/0000005600000002/v1_201405240602/S2173510714000159/v1_201405240602/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173510714000147" "issn" => "21735107" "doi" => "10.1016/j.rxeng.2014.04.002" "estado" => "S300" "fechaPublicacion" => "2014-03-01" "aid" => "690" "copyright" => "SERAM" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Radiologia. 2014;56:118-28" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2032 "formatos" => array:2 [ "HTML" => 1701 "PDF" => 331 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Update in Radiology</span>" "titulo" => "Neuroimaging follow-up of cerebral aneurysms treated with endovascular techniques" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "118" "paginaFinal" => "128" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Seguimiento mediante técnicas de neuroimagen de los aneurismas cerebrales tratados por vía endovascular" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 737 "Ancho" => 2169 "Tamanyo" => 197589 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">36-year old man with a subarachnoid hemorrhage and a mirror aneurysm in both carotid bifurcations. Reimpaction of coils after 4 years in the 3D arteriography (A, thin arrow) with aneurysmal growth of left carotid bifurcation (A, thick arrow) and non-subtraction negative image (B). Control after endovascular therapy with coils (C).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Delgado, A. Saiz, A. Hilario, E. Murias, L. San Román Manzanera, A. Lagares Gomez-Abascal, A. Gabarrós, A. González García" "autores" => array:9 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Delgado" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Saiz" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Hilario" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Murias" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "San Román Manzanera" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Lagares Gomez-Abascal" ] 6 => array:2 [ "nombre" => "A." "apellidos" => "Gabarrós" ] 7 => array:2 [ "nombre" => "A." "apellidos" => "González García" ] 8 => array:1 [ "colaborador" => "on behalf of Cerebrovascular Diseases Group of the Spanish Society of Neuroradiology (SENR)" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0033833813001501" "doi" => "10.1016/j.rx.2013.06.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0033833813001501?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173510714000147?idApp=UINPBA00004N" "url" => "/21735107/0000005600000002/v1_201405240602/S2173510714000147/v1_201405240602/en/main.assets" ] "en" => array:20 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Report</span>" "titulo" => "Decorative elements in the medical imaging area improve patients’ perception of pleasantness" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "129" "paginaFinal" => "135" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "R. García Marcos, L. Martí-Bonmatí, J.J. Martínez, J. Vilar, N. Katic, P. Lemercier, R. Díaz Dhó" "autores" => array:7 [ 0 => array:4 [ "nombre" => "R." "apellidos" => "García Marcos" "email" => array:1 [ 0 => "raulgamar@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "L." "apellidos" => "Martí-Bonmatí" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J.J." "apellidos" => "Martínez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Vilar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "N." "apellidos" => "Katic" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 5 => array:3 [ "nombre" => "P." "apellidos" => "Lemercier" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 6 => array:3 [ "nombre" => "R." "apellidos" => "Díaz Dhó" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Área de Imagen Médica, Hospital Universitario y Politécnico La Fe, Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad Docente de Medicina Física y Departamento de Medicina, Facultad de Medicina, Universidad de Valencia, Valencia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Cátedra Philips Imagen Biomédica, Universidad Católica de Valencia, Valencia, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Diseño y Producción Artística de Valencia, Valencia, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Departamento de Psicología Evolutiva y de la Educación, Facultad de Psicología, Universidad de Valencia, Valencia, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Los elementos decorativos ambientales en el Área de Imagen Médica mejoran la percepción de agradabilidad del paciente" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0030" "etiqueta" => "Figure 6" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr6.jpeg" "Alto" => 1931 "Ancho" => 2587 "Tamanyo" => 313732 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Dispersion diagrams of interviewed variables. Happiness–sadness, coldness–warmth, luminosity–darkness, and pessimism–optimism and idea generated.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The artistic intervention in the hospital setting with decorative elements is an option to improve the patient's perception of the hospital that can have a positive effect in his mood and state of mind during his stay in the service of radiology.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Today's hospitals are buildings designed as state-of-the art functional machines and complex spaces designed to speed up the process of exploring patients in a similar way to a production line. On the one hand this enhanced efficiency has helped shorten response times and has saved more lives but on the other these structures are less concerned on the specific situation and personal experience lived by patients who are more and more overwhelmed and disoriented by this alien depersonalized setting.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> This project is born from the conviction that the surroundings play a significant role in the attitude and life experience of people. It seems reasonable to think that better surroundings can contribute to the psychological state and attitude of patients who will be willing to undergo more tests than the ones they undergo as part of their clinical process.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> This is why on top of a huge system of hospital infrastructure aimed at optimizing the processes of disease diagnosis and management another type of facility is needed, one capable of communicating with the patient while conveying feelings of calm, peacefulness, optimism, and compassion. These elements can also strengthen the patient's curiosity through an element of surprise capable of producing an ultimate sensation of pleasantness. The overall focus of the artistic project developed is inspiring the curiosity and surprise through an unexpected experience in a standard hospital setting.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Compared to the routine practice of hanging TV screens at the waiting room for leisure extraordinary experiences can benefit the patient in a much deeper way. In our development we have taken the following issues into consideration:<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><p id="par0010" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">The extraordinary distracts us from negative thinking</span>. We are used to paying attention to unexpected or incomprehensible events and curiosity–understood as an active process of interpretation can give meaning to new experiences which in turn are a powerful way through which the mind channels troublesome thoughts into something inspiring and optimistic.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p></li><li class="elsevierStyleListItem" id="lsti0010"><p id="par0015" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">The extraordinary leaves an everlasting impression.</span> Our selective memory stores outstanding events and experiences of our daily lives only. Does anyone remember what we were waiting at the dentist's waiting room a couple of years ago?</p></li><li class="elsevierStyleListItem" id="lsti0015"><p id="par0020" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">The extraordinary promotes conversations.</span> In the hospital setting the possibility of using a certain surrounding capable of strengthening socialization and promoting a starting point for a cheerful conversation is another way to fight the loneliness, concerns, and uncertainty typical of visiting someone in a hospital.</p></li></ul></p><p id="par0025" class="elsevierStylePara elsevierViewall">The main goal of this study is to improve the sensation of pleasantness perceived by the patients who go to the service of radiology by designing and building environmental decorative elements later assessed in surveys.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Materials and methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Actions</span><p id="par0030" class="elsevierStylePara elsevierViewall">The actions implemented focused on access pass ways to the patient–waiting rooms and connection aisles that in their original state looked like closed functional settings somehow detached from the outside. The strategy consisted of widening the visual space beyond the physical barriers creating some sort of an impossible astounding opening to the outside world and the calm of nature. To accomplish this various elements targeted at specific groups and different patients were used.</p><p id="par0035" class="elsevierStylePara elsevierViewall">A. Elements in the waiting rooms. Two (2) types of spatial interventions were considered in the nine (9) waiting rooms for outpatients and external medical offices through the creation of natural textures in these indoor closed spaces.<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">1.</span><p id="par0040" class="elsevierStylePara elsevierViewall">Actions on the ceiling. A series of modules of suspended ceiling were replaced by what we call the “magic window”. Such piece consists of a prism whose upper side includes a foliage impression against a backlight and whose inner walls are made up of mirrors reflecting the texture toward the infinite creating thus the illusion of an open outside space beyond the false ceiling. Textures used were based on different types of trees: pinyon pine trees, olive trees, banana and orange trees in an effort to identify each room as a different autonomous forest (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">2.</span><p id="par0045" class="elsevierStylePara elsevierViewall">Actions on walls. The waiting rooms are separated from the pass way aisles by glass screens that simply do not provide the people inside the waiting room or the people passing by with the necessary privacy. Another element added was the so-called “filter” representing the trunk of a tree to complete a certain forest-like sensation together with the “magic windows” to separate the ambience of the waiting room from that of the pass ways. These filters were made up of methacrylate cuts applied on the glass screens and the inner walls in an effort to provide transparency, dimness and a sensation of singularity in each and every room. This filter installed separates visually the waiting areas from the pass ways changing the perception of space and creating the illusion of being among the trees of a forest while all is connected to the installation built at the ceiling (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></li></ul></p><p id="par0050" class="elsevierStylePara elsevierViewall">B. Elements in bed pass ways. Bedridden patients are used to long monotonous little journeys through connection aisles while lighted by blinding zenith ceiling lighting and the only visual field of a false technical ceiling. To improve these perceptive deficits in the areas these bedridden patients pass by some of the ceiling modules were replaced by impressed retro-illuminated lenticular panels that thanks to the bed movement across the aisle generate a sensation of movement and animation. This sensation causes the illusion that right above the limit of the ceiling there is an outside space with trees, birds and clouds that can be seen naturally moving thanks to the effect caused by lenticular panels (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">The decorative solution implemented also had as technical advantages: modularity (the system consists of low-cost elements easily reproducible and adaptable to any scales, densities and budgets which generates an organic growth of the intervention colonizing the space wanted); minimal maintenance; hygiene; easy cleaning due to materials used; and Location out of the users’ reach.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Survey and data mining</span><p id="par0060" class="elsevierStylePara elsevierViewall">Once the installation of the aforementioned environmental decorative elements was finished a brief survey with general information on the patient and a selection of questions on the sensations he got from the implemented decorative elements was done (<a class="elsevierStyleCrossRef" href="#fig0020">Fig. 4</a>). During a defined period of no more than two (2) months and to avoid the effect of habit the voluntary responses of outpatients and hospital patients who went to the radiology service to undergo diagnostic or therapeutic tests were gathered consecutively. Surveys were available in the ultrasound waiting rooms and the external office of interventional radiology in an effort to facilitate and centralize management. With the collaboration of the service nurses and technicians surveys could be handed out and picked up. There was no interaction with the patients whatsoever to avoid influencing their answers. Recruitment finished when the first 150 surveys filled in by the patients were collected. Age, gender, prior state of health and the patient's situation of mobility were some of the general data gathered. The specific questions chosen were those having to do with the sensations that the environmental decoration produced while assessing the pairs sadness–happiness, darkness–light, coldness–warmth, and pessimism–optimism. Answers were evaluated through the visual analog scale–VAE. These scales were designed in such a way that those with a positive response to the right and to the left of the scale line were balanced in an effort to avoid biases associated to the direction of the very text–there is a tendency to assess more commonly toward the right of the line. A maximum value of 10 was considered for the most positive states of happiness, warmth, light and optimism, and a minimum value of 1 for its opposites: sadness, coldness, darkness, and pessimism. Surveys also asked the patients for their assessment on the environmental decorative elements mounted in the facilities of radiology categorizing the response as very good, good, regular, indifferent, bad, or very bad. The patient's waiting time was regarded as the difference between the hour of the appointment and the moment the patient actually accessed to have his diagnostic or therapeutic test done in an effort to evaluate the possible relation between the discomfort associated to longer waiting times and worse perceptions of decorative elements.</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Statistical analysis</span><p id="par0065" class="elsevierStylePara elsevierViewall">When the surveys were gathered the descriptive analysis of the patients’ perceptions on the environmental decorative elements mounted and its possible relation to other variables was carried out. The absolute number of patients was calculated as well as the proportion of patients for the variables: idea generated, gender, state of health, and mobility. Average, mode, and 95% confidence interval (CI) for waiting time were described too. Linear regression models were used between the variable of idea generated and the variable of perception for the intensity quantification between the two.</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Results</span><p id="par0070" class="elsevierStylePara elsevierViewall">In the 150 surveys gathered 142 patients adequately and completely filled in all question blanks. Eight (8) cases non-respondent to VAE were discarded. The average age of respondent patients was 53.8 years (range 16–90 years). Gender was matched between males (71; 47%) and females (79; 53%). When it comes to the state of health 84 patients (56%) said it was good, 58 patients (39%) said it was regular, and 8 (5%) said it was bad. When asked about their mobility, patients were categorized in walking (119 patients, 79%), bedridden (18 patients, 12%), and wheelchair-needed (13 patients, 9%).</p><p id="par0075" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0025">Fig. 5</a> shows results obtained on the subjective sensations conveyed by the environmental decoration. As it can be seen once the answers were reoriented (the most positive ones to the left) for the sake of comparison, actions were very well assessed most answers being in the range between 8 and 10. The dispersion measures for the variables of sensation conveyed are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>. The charts of dispersion and its linear relation (<a class="elsevierStyleCrossRef" href="#fig0030">Fig. 6</a>) could also be obtained. Dispersion of the sample surveyed was greater when patients were asked on variables of warmth–coldness, pessimism–optimism, and lower when asked on variables of happiness–sadness, and light–darkness. Correlation ratio was >0.5 for all variables with a strong positive correlation between the degree of response of VAE perception and the overall idea generated.</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="fig0030"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">The idea was perceived as very good in 70 patients (47%), good in 58 patients (39%), regular in 8 (5%), indifferent in 11 patients (7%), bad in 1 (1%), and very bad in 2 patients (1%). The average waiting time for patients was 60<span class="elsevierStyleHsp" style=""></span>min (range 2–180<span class="elsevierStyleHsp" style=""></span>min). Mode was 30<span class="elsevierStyleHsp" style=""></span>min for a total of 62 patients (41%). The average of time waited for patients who responded with a positive result (very good or good: 86%) was 59.45<span class="elsevierStyleHsp" style=""></span>min (95% CI: 52–67; <span class="elsevierStyleItalic">t</span> for Student: 15.7; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05), while for the remaining answers (regular, indifferent, bad or very bad: 14%) the average time was somehow lower, 56<span class="elsevierStyleHsp" style=""></span>min (95% CI: 39–76; <span class="elsevierStyleItalic">t</span> for Student: 6.8; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05), with no significant differences among them.</p><p id="par0085" class="elsevierStylePara elsevierViewall">Answers were pooled according to the patients’ state of mobility and the idea generated by mounting the decorative elements (<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>). Out of the walking patients, 87% answered positively (very good and good) while bedridden and wheel-chaired patients also answered positively in 78% and 77% respectively.</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Debate</span><p id="par0090" class="elsevierStylePara elsevierViewall">The installation of environmental decorative elements in the area of Medical Imaging offers a high level of satisfaction in patients improving the perceived sensation of their surroundings. Sickness and hospitalization are stressing episodes for patients that make them do individual adjustments in a personal effort to adapt themselves to sickness, hospitalization and therapy. First we have the level of uncertainty to sickness and the fear of severity. Then comes this stage of going to a health center and when at the center the stress derived from medical care, fear of the unknown, the coldness of hospital surroundings and even the fast impersonal care from health personnel.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a></p><p id="par0095" class="elsevierStylePara elsevierViewall">Several authors have studied the effects of care on the waiting rooms as a way to reduce hospital stress. Introducing plants as natural decorative elements is one of the actions described above to try to reduce anxiety and stress in the waiting room and promote the rehab of patients who have undergone some type of surgery.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7–9</span></a> A milestone of improvement in the process of sickness can be acting upon the perception and interpretation of the hospital setting by the patient given the impact that this setting has on the patient. In a hospital sensations, smells, views<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> and sounds<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">11,12</span></a> can be associated with health or sickness so they need to be points to be acted upon if we are trying to improve the patient's well-being.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> Art is that new design component of hospital settings that favors and enhances the patient's well-being.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> In our approach to this solution the results obtained through the surveys show the high level of satisfaction of patients when they assessed the sensation they got from environmental decorative elements. The scale of satisfaction shows an average score close to 8 in all questions being illumination the variable best valued. Patients with a better state of health are those who best valued the sensation conveyed. Time elapsed has barely had an influence on the answer given and the experience associated with environmental decorative elements. If we assess the idea generated according to the patient's mobility, the greater rates of positive response came from those patients with a preserved mobility (walkers) compared to those with a limited mobility (bedridden and wheel-chaired). Good mobility associated with an optimal state of health conditions a more positive and optimistic response in these patients in a hospital setting; yet high positive response values are also obtained from more disabled patients as well.</p><p id="par0100" class="elsevierStylePara elsevierViewall">The high level of satisfaction in our survey coming from patients in the created environmental surroundings can somehow contribute to reduce the feared frequent situations of stress and pessimism created by an optimistic illuminated space which is somehow out of the ordinary by generating a sensation of surprise and abstraction from negative thoughts which in turn contributes to improving the psychological well-being of patients.</p><p id="par0105" class="elsevierStylePara elsevierViewall">One of the limitations of the study is that the majority of patients surveyed come from out-of-hospital waiting rooms–more accessible when it comes to filling in a survey while bedridden patients and patients with a worse state of health are more limited and disabled and rejected the survey in a greater number.</p><p id="par0110" class="elsevierStylePara elsevierViewall">In sum the environmental decorative elements implemented both in waiting rooms and pass ways have generated excellent results in the sensations conveyed to patients when it comes to happiness, warmth, luminosity and optimism.</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Ethical responsibilities</span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Protection of humans and animals</span><p id="par0115" class="elsevierStylePara elsevierViewall">Authors confirm that no experiments have been done with humans or animals during this research.</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Confidentiality of data</span><p id="par0120" class="elsevierStylePara elsevierViewall">Authors confirm that in this report there are no personal data from patients.</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Right to privacy and informed consent</span><p id="par0125" class="elsevierStylePara elsevierViewall">Authors have obtained informed consent from patients and/or subketcs mentioned in this article. Such document is kept by the author of correspondence.</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Authors</span><p id="par0130" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">1.</span><p id="par0135" class="elsevierStylePara elsevierViewall">Manager of the integrity of the study: LMB and JMR.</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">2.</span><p id="par0140" class="elsevierStylePara elsevierViewall">Original Idea of the Study: LMB, JMR, and RGM.</p></li><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">3.</span><p id="par0145" class="elsevierStylePara elsevierViewall">Study Design: RGM, LMB, JMR, JVP, NK, and RDD.</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">4.</span><p id="par0150" class="elsevierStylePara elsevierViewall">Data Mining: RGM, and PL.</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">5.</span><p id="par0155" class="elsevierStylePara elsevierViewall">Data Analysis and Interpretation: RGM, LMB, and JMR.</p></li><li class="elsevierStyleListItem" id="lsti0055"><span class="elsevierStyleLabel">6.</span><p id="par0160" class="elsevierStylePara elsevierViewall">Statistical Analysis: RGM, and PL.</p></li><li class="elsevierStyleListItem" id="lsti0060"><span class="elsevierStyleLabel">7.</span><p id="par0165" class="elsevierStylePara elsevierViewall">Reference Search: RGM.</p></li><li class="elsevierStyleListItem" id="lsti0065"><span class="elsevierStyleLabel">8.</span><p id="par0170" class="elsevierStylePara elsevierViewall">Writing: RGM, JVP, NK, RDD, and PL.</p></li><li class="elsevierStyleListItem" id="lsti0070"><span class="elsevierStyleLabel">9.</span><p id="par0175" class="elsevierStylePara elsevierViewall">Manuscript critical review with intellectually relevant contributions: LMB, JMR, and RDD.</p></li><li class="elsevierStyleListItem" id="lsti0075"><span class="elsevierStyleLabel">10.</span><p id="par0180" class="elsevierStylePara elsevierViewall">Final Version Approval: LMB, JMR, and RGM.</p></li></ul></p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Conflict of interests</span><p id="par0185" class="elsevierStylePara elsevierViewall">Authors reported no conflicts of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:11 [ 0 => array:2 [ "identificador" => "xres341738" "titulo" => array:5 [ 0 => "Abstract" 1 => "Objectives" 2 => "Material and methods" 3 => "Results" 4 => "Conclusions" ] ] 1 => array:2 [ "identificador" => "xpalclavsec323453" "titulo" => "Keywords" ] 2 => array:2 [ "identificador" => "xres341739" "titulo" => array:5 [ 0 => "Resumen" 1 => "Objetivos" 2 => "Material y métodos" 3 => "Resultados" 4 => "Conclusiones" ] ] 3 => array:2 [ "identificador" => "xpalclavsec323452" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:3 [ "identificador" => "sec0010" "titulo" => "Materials and methods" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0015" "titulo" => "Actions" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Survey and data mining" ] 2 => array:2 [ "identificador" => "sec0025" "titulo" => "Statistical analysis" ] ] ] 6 => array:3 [ "identificador" => "sec0030" "titulo" => "Results" "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0035" "titulo" => "Debate" ] ] ] 7 => array:3 [ "identificador" => "sec0040" "titulo" => "Ethical responsibilities" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0045" "titulo" => "Protection of humans and animals" ] 1 => array:2 [ "identificador" => "sec0050" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0055" "titulo" => "Right to privacy and informed consent" ] ] ] 8 => array:2 [ "identificador" => "sec0060" "titulo" => "Authors" ] 9 => array:2 [ "identificador" => "sec0065" "titulo" => "Conflict of interests" ] 10 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-04-11" "fechaAceptado" => "2012-07-23" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec323453" "palabras" => array:5 [ 0 => "Hospital design" 1 => "Facility design and construction" 2 => "Psychological stress" 3 => "Patient satisfaction" 4 => "Environment" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec323452" "palabras" => array:5 [ 0 => "Diseño hospitalario" 1 => "Diseño y construcción de servicios" 2 => "Estrés psicológico" 3 => "Satisfacción del paciente" 4 => "Entorno ambiental" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To evaluate the sensation of pleasantness perceived by patients attended in the radiology department in response to decorative elements hung on the walls in the waiting rooms and in the hallways of the imaging area.</p> <span class="elsevierStyleSectionTitle" id="sect0015">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The material resources comprised works of art in the form of “magic windows” representing scenes from nature installed on the ceilings and walls of the waiting area and hallways of the imaging area. Patients were given a brief questionnaire with general data and questions (sadness–cheerfulness, coldness–warmth, darkness–light, and pessimism–optimism) about their perception of the decorative elements.</p> <span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Of the 150 questionnaires collected, 142 were filled out correctly. The overall health of these patients was good in 84 (56%), not bad in 58 (39%), and poor in 8 (5%). The idea seemed very good to 70 patients (47%), good to 58 (39%), not bad to 8 (5%), indifferent to 11 (7%), bad to 1 (1%), and very bad to 2 (1%). As for a patients’ mobility, 119 patients (79%) walked into the department, 18 (12%) were wheeled in on beds, and 13 (9%) needed wheelchairs.</p> <span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We found a high level of satisfaction with the decorative elements.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0035">Objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Valorar la sensación de agradabilidad percibida por los pacientes que acuden al servicio de radiología asociada a la instalación de elementos decorativos ambientales.</p> <span class="elsevierStyleSectionTitle" id="sect0040">Material y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Los recursos materiales consistieron en la implantación de obras de arte en los techos en forma de «ventanas mágicas» y paneles en las paredes de las salas de espera y pasillos del Área de Imagen, respectivamente, que representan elementos ambientales de la naturaleza. Posteriormente, a los pacientes se les dio un breve cuestionario con datos generales y preguntas (tristeza-alegría, frialdad-calidez, oscuridad-luminosidad y pesimismo-optimismo) sobre la percepción que le transmiten los elementos decorativos instalados.</p> <span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">De 150 cuestionarios recogidos, 142 pacientes rellenaron completa y adecuadamente el cuestionario. El estado de salud general de estos pacientes era bueno en 84 (56%), regular en 58 (39%) y malo en 8 (5%). La idea les pareció muy buena a 70 pacientes (47%), buena a 58 (39%), regular a 8 (5%), indiferente a 11 (7%), mala a 1 (1%) y muy mala a 2 pacientes (1%). La movilidad del paciente al realizar la consulta se distribuyó entre aquellos que venían andando (119 pacientes, 79%), estaban encamados (18 pacientes, 12%) y necesitaban silla de ruedas (13 pacientes, 9%).</p> <span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se ha constatado un alto nivel de satisfacción por parte de los pacientes cuando se valora la sensación percibida asociada a la instalación de elementos decorativos ambientales en las paredes y techos de las salas de espera y pasillos del Área de Imagen.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: García Marcos R, Martí-Bonmatí L, Martínez JJ, Vilar J, Katic N, Lemercier P, et al. Los elementos decorativos ambientales en el Área de Imagen Médica mejoran la percepción de agradabilidad del paciente. Radiología. 2014;56:129–135.</p>" ] ] "multimedia" => array:8 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 679 "Ancho" => 1301 "Tamanyo" => 119544 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Pictures of the “magic windows” mounted on the ceilings of the ultrasound waiting room (a) and the interventional radiology waiting room (b).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 890 "Ancho" => 901 "Tamanyo" => 102843 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">“Filters” mounted on the walls of the conventional radiology waiting room.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 763 "Ancho" => 1301 "Tamanyo" => 102938 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Retro-illuminated panels mounted on the interventional radiology pass ways (a) and conventional radiology for bedridden patients (b).</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 2272 "Ancho" => 1628 "Tamanyo" => 278214 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Form for internal data handed over to the patients.</p>" ] ] 4 => array:7 [ "identificador" => "fig0025" "etiqueta" => "Figure 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 1261 "Ancho" => 2324 "Tamanyo" => 176398 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Histogram with the distribution of several variables and number of absolute patients.</p>" ] ] 5 => array:7 [ "identificador" => "fig0030" "etiqueta" => "Figure 6" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr6.jpeg" "Alto" => 1931 "Ancho" => 2587 "Tamanyo" => 313732 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Dispersion diagrams of interviewed variables. Happiness–sadness, coldness–warmth, luminosity–darkness, and pessimism–optimism and idea generated.</p>" ] ] 6 => array:7 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">SD: standard deviation; VAE: visual analog scale.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Average \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Median \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Mode \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">SD \t\t\t\t\t\t\n \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Happiness–sadness \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1.69 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Coldness–warmth \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2.57 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Luminosity–darkness \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1.65 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Optimism–pessimism \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8.4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2.09 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab506836.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Dispersion measures of sensations conveyed on VAE.</p>" ] ] 7 => array:7 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">VAE: visual analog scale.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Very good \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Good \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Indifferent \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Regular \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Bad \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Very bad \t\t\t\t\t\t\n \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Walking \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">57 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">47 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Bedridden \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Wheel-chaired \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab506835.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Idea generated by VAE according to the patient's state of mobility.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Art in hospitals: does it work? A survey of evaluation of arts projects in the NHS" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.F. Miles" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J R Soc Med" "fecha" => "1994" "volumen" => "87" "paginaInicial" => "161" "paginaFinal" => "163" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8158597" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "High technology helps hospital protect newborns, reduce theft, and increase safety of staff and patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W. 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