Ortega García, Juan Antonio

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Ortega García, Juan Antonio

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Ortega García, Juan Antonio

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Universidad de Murcia. Departamento de Cirugía, Pediatría, Obstetriciay Ginecología

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Open Access
Manual docente para la implantación de “BOSQUES PARA LA SALUD” en pediatría
(Universidad de Murcia, Grupo de Investigación Salud Medioambiental Pediátrica, IMIB Pascual Parrilla, 2021) Francisco Díaz Martínez; Ortega García, Juan Antonio; Ortega García, Juan Antonio; Cirugía, Pediatría y Obstetricia y Ginecología; Juan Antonio Ortega García; Facultades de la UMU::Facultad de Medicina
Material docente orientado a la implantación, adaptación y reproducción del modelo “Bosques para la Salud” en el ámbito de la pediatría, la maternidad y la salud comunitaria. La guía sistematiza la experiencia desarrollada por la Unidad de Salud Medioambiental Pediátrica (PEHSU Murcia) a lo largo de los años y ofrece un marco práctico para vincular salud, educación y medioambiente mediante intervenciones basadas en la naturaleza. Incluye fundamentos conceptuales, definición del programa, metas y objetivos, metodología, colectivos destinatarios, fases de desarrollo, formación, digitalización, comunicación y líneas de mejora. Está dirigida a profesionales sanitarios, residentes, equipos multiprofesionales, responsables institucionales y otros agentes interesados en transferir e implantar la experiencia en diferentes contextos territoriales. El documento se concibe como recurso formativo y de transferencia para facilitar la creación de entornos y estilos de vida más saludables desde la infancia y la adolescencia.
Open Access
Harnessing the healing power of nature: a review of natural interventions in substance abuse treatment and prevention
(Japanese Society for Hygiene, 2024) Francisco Díaz Martínez; Miguel Felipe Sánchez Sauco; Laura T Cabrera Rivera; Claudia Ortiz Fernández; Juan Antonio Ortega García; Ortega García, Juan Antonio; Sánchez Sauco, Miguel Felipe; Orenes-Piñero, Esteban; Juan Antonio Ortega García; Ortega García, Juan Antonio; Cirugía, Pediatría y Obstetricia y Ginecología; Juan Antonio Ortega García; Facultades de la UMU::Facultad de Medicina
Background: Substance abuse is a global problem that cuts across all sectors of society and requires innovative solutions that go beyond conventional treatments. Contact with nature could be a complementary tool to address drug-related problems. This review aimed to assess the impact of natural environments on drug-related outcomes. Method: 8205 articles were screened between 2013 and 2023 from 6 databases, of which 21 met the inclusion criteria. Results: Most studies (12) focused on treatment, followed by incidence/consumption (7), prevention (5) and mortality (1). The main drugs studied were drugs in general (12), followed by alcohol (6), tobacco (6), and other drugs, including cannabis and opioids (4). The results of 85% of the studies showed positive outcomes, supporting the effectiveness of nature-based interventions for drug dependence. While some studies produced neutral or negative results. Conclusion: The use of nature-based interventions for the prevention and treatment of drug addiction shows considerable potential. However, more research is needed to understand the underlying mechanisms and to improve evidence-based interventions. Integrating health and environmental policies is essential to promote a holistic approach to drug strategies at the national and international levels.
Open Access
Material docente para la formación de educalíderes en salud medioambiental: Educaventuras “Ecosistemas saludables – neurodesarrollo saludable”
(Universidad de Murcia. Y en créditos institucionales / entidades editoras: Unidad de Salud Medioambiental Pediátrica (PEHSU Murcia), IMIB Pascual Parrilla y Hospital Clínico Universitario Virgen de la Arrixaca., 2022) Francisco Díaz Martínez; Ortega García, Juan Antonio; Ortega García, Juan Antonio; Cirugía, Pediatría y Obstetricia y Ginecología; Juan Antonio Ortega García; Facultades de la UMU::Facultad de Medicina
Material docente para la formación de educalíderes en salud medioambiental a través del programa Educaventuras de Salud Medioambiental: “Ecosistemas saludables – neurodesarrollo saludable”. El documento organiza un conjunto de actividades orientadas a reconectar y enraizar a la infancia y la adolescencia con la naturaleza, promover estilos de vida más saludables y desarrollar capacidades de innovación social, autocuidado y salud planetaria. Está dirigido a jóvenes y estudiantes, profesionales de la salud, educación, cultura y medioambiente, activos comunitarios, técnicos municipales y miembros de redes de salud medioambiental. La metodología de aprendizaje es teórico-práctica, activa y experiencial, basada en el enfoque training for trainers: combina sesiones breves de contextualización, talleres prácticos, trabajo en equipo, resolución de problemas, actividades en espacios naturales y transferencia posterior de lo aprendido mediante retos y tareas en la naturaleza, con el fin de formar formadores capaces de reproducir y adaptar las educaventuras en otros contextos. El material se utilizó en el Taller para Educalíderes de la Salud Medioambiental y se ha aplicado posteriormente en actividades desarrolladas en colaboración con FUNDOWN, incluyendo acciones en espacios como el ArboretUM. Además, se integra en la línea de investigación sobre beneficios del contacto con la naturaleza en población infantil y adolescente, incorporando componentes de evaluación y seguimiento del impacto en salud, bienestar y conexión con la naturaleza.
Open Access
Heavy metals screening model in primary care: Experience in the Sierra Minera de Cartagena (Spain)
(Elsevier, 2024-12-17) Ortega García, Juan Antonio; Francisco Díaz Martínez; Laura Rubio Roca; Isabel Martínez Frutos; Claudia Ortiz-Fernández; Maria Luisa Gil del Castillo; Francisco Pacheco Martínez; Ortega García, Juan Antonio; Cirugía, Pediatría y Obstetricia y Ginecología; Juan Antonio Ortega García; Facultades de la UMU::Facultad de Medicina
Introduction: Soils contaminated by heavy metals such as lead, cadmium, and arsenic represent a significant health risk. The Sierra Minera of Cartagena (Spain) is an area historically contaminated by mining activities. This study evaluates the exposure to heavy metals and proposes a clinical screening model for its management in primary care. Method: Descriptive cross-sectional study conducted between 2017 and 2020 with volunteers from the Sierra Minera of Cartagena who provided blood and urine samples. Primary care health professionals were trained in sample collection and analysis, risk communication, and clinical protocols on heavy metals were implemented. Results: 203 participants, 66.5% women and 38 (18.7%) under 16 years old. The majority resided in Zone 0 (contaminated area). Mean blood lead level was 1.78μg/dl and 2.22μg/dl in those under 16 years old, with. Metal concentrations, particularly lead, increased with age, male sex, Arab ethnicity, and proximity to contaminated areas. Tobacco smoke was identified as a main source of lead exposure in children under 16 years. The primary care clinical screening model identified 12 (7%) and 22 (11%) participants exceeding 5μg/dl and 3.5μg/dl respectively, particularly six children and one pregnant woman, with significant levels that normalized within 2-3 months following PEHSU's clinical guidelines. Conclusions: The implementation of clinical and analytical screening for heavy metals in primary care, supported by pediatric environmental health units (PEHSU), proved effective in screening and reducing in children blood lead levels in a short period. Training health professionals is crucial to adequately address environmental risks and protect the health of affected populations.
Open Access
Roots of resilience: Assessing child and adolescent nature connectivity in the Mediterranean Region of Murcia (Spain)
(Wiley, 2026-01-05) Ortega García, Juan Antonio; Francisco Díaz Martínez; Laura Teresa Cabrera Rivera; Carmen Alicia Cánovas Conesa; Rebeca Ramis; Luz Claudio; Ortega García, Juan Antonio; Cirugía, Pediatría y Obstetricia y Ginecología; Juan Antonio Ortega García; Facultades de la UMU::Facultad de Medicina
Children today spend less time outdoors than previous generations, with potential consequences for health, learning and pro-environmental attitudes. We assessed children's connection with and exposure to nature in a Mediterranean setting using the Nature Connection and Experience Index (NCEI), a composite measure that integrates an affective–cognitive connection-to-nature module with indicators of everyday nature experiences. A school-based cross-sectional survey (4 March–4 April 2022) was conducted in 50 randomly selected public schools in the Region of Murcia (Spain). The questionnaire (26 items) was completed by 3395 pupils aged 7–17 years (overall response 67.2%). Psychometric checks supported the CN block. Only about one in four pupils reported daily or near-daily contact with nature across the year; approximately three in four met criteria for Nature Experience Deficit (<1 h/day, annual measure). NCEI scores declined with age and were higher in girls than boys. Lower scores were observed in more urban and socio-economically unequal municipalities, whereas participation in outdoor lessons was positively associated with NCEI. These findings point to a substantial nature-experience gap in childhood and adolescence. Embedding regular outdoor learning into timetables and improving access to nearby green and blue spaces—particularly in urban and disadvantaged areas—could strengthen children's everyday relationship with nature, with co-benefits for health, learning and sustainability. The NCEI offers a practical tool for monitoring and programme design in schools.