Subject(s)
Humans , Male , Female , Middle Aged , Aged , Pandemics , Coronavirus Infections/epidemiology , Breast Neoplasms , 50230 , SpainSubject(s)
Humans , Male , Female , Middle Aged , Aged , Pandemics , Breast Neoplasms , 50230 , SpainSubject(s)
Breast Neoplasms , COVID-19 , Humans , Female , COVID-19/epidemiology , Breast Neoplasms/epidemiology , Breast Neoplasms/therapy , Breast , SARS-CoV-2 , Disease OutbreaksABSTRACT
Objectives: Clinical practice guidelines (CPGs) are recommendations based on a systematic review of scientific evidence that are intended to help healthcare professionals and patients make the best clinical decisions. CPGs must be evidence-based and are designed by multidisciplinary teams. The purpose of this study is to assess the topics related to the clinical laboratory addressed in CPGs and evaluate the involvement of laboratory professionals in the CPG development process. Methods: A total of 16 CPGs recommended by the Spanish Society of Laboratory Medicine and/or retrieved from PubMed-Medline were included. A review of the information provided in CPGs about 80 topics related to the clinical laboratory was performed. The authorship of laboratory professionals was assessed. Results: On average, the 16 CPGs addressed 49% (standard deviation [SD]: 11%) of the topics evaluated in relation to the clinical laboratory. By order of frequency, CPGs contained information about 69% of postanalytical variables (SD: 20%); 52% of preanalytical variables (SD: 11%); and 43% of the analytical variables studied (SD: 18%). Finally, half the CPGs included a laboratory professional among its authors. Conclusions: CPGs frequently failed to provide relevant laboratory-related information. Laboratory professionals were co-authors in only half the CPGs. There is scope for improvement, and laboratory professionals should be included in multidisciplinary teams involved in the development of CPGs.
ABSTRACT
Objetivo: Determinar la percepción de las gestantes sobre la evolución de su sexualidad. Método: Estudio multicéntrico, observacional, descriptivo, longitudinal, con seguimiento prospectivo en tres visitas programadas: al inicio del embarazo y en cada trimestre. Participaron nueve centros del Programa de Atención a la Salud Sexual y Reproductiva (PASSIR) del Vallès (Barcelona) entre 2009 y 2011. Se utilizó un cuestionario de elaboración propia, con cuatro secciones (tres de diseño propio y una adaptada del cuestionario Female Sexual Function Index [FSFI]) y 35 ítems. Para las variables cuantitativas se utilizó una escala del 1 al 10. Resultados: La muestra del estudio fue 213 gestantes. La edad media fue de 31 años. El 54% de las mujeres eran primíparas. El 100% tenía pareja estable y el 25% había sufrido algún aborto previo. Se puntuó el deseo de tener un hijo con una media de 7,91 puntos. El 86% experimentó variaciones en su sexualidad. El deseo disminuyó de una puntuación de 3,93 al inicio hasta otra de 2,75 al final (p <0,001), la frecuencia de las relaciones sexuales pasó de 2,37 veces semanales al inicio a 1,26 al final (p <0,001), y la satisfacción con la sexualidad se redujo desde los 7,03 puntos iniciales hasta los 4,28 puntos finales. Estos cambios se atribuyeron a las molestias físicas (60% en el tercer trimestre) y al temor a dañar al feto (23%). Conclusiones: La sexualidad experimenta importantes alteraciones durante el embarazo, relacionadas con los cambios físicos y psicológicos propios de la gestación y con el temor a dañar al feto. Este estudio proporciona un instrumento de trabajo a los profesionales sanitarios para abordar la sexualidad dentro de la práctica clínica (AU)
Objective: To analyze the perception of pregnant women on the evolution of their sex life during pregnancy. Method: A multicenter cross-sectional questionnaire-based study with prospective follow-up in three scheduled visits: early pregnancy and in each trimester from 2009 to 2011 in nine Sexual and Reproductive Health Centres Within (Barcelona). A questionnaire with four sections was designed: three ad hoc sections and our adapted version of the Female Sexual Function Index (FSFI) to pregnancy for the fourth section was used. Variables were scored on a scale of 1 to 10. Results: There were 213 pregnant women recruited. The average age was 31 years old. 54% were primiparous, 100% had stable partner and 25% had had a previous abortion. The desire to have a child was scored, on average, with 7.91 points. By the third trimester, 86% had observed variations in their sexuality. The desire domain in the FSFI score decreased during pregnancy: from 3.93 at baseline to 2.75 in the third trimester (p < 0.001). The frequency of sexual relations also decreased from 2.37 times/week prior to pregnancy to 1.26 times/week in the third trimester (p < 0.001). Satisfaction with sexuality also changed significantly ranging from 7.03 points at the beginning to 4.28 points at the end. Regarding the reasons for the changes in sexuality, physical discomfort prevailed (60% in the third trimester) as well as fear to harm the fetus (23%). Conclusions: Sexuality undergoes major alterations during pregnancy related to physical and psychological changes and fear to harm the fetus. This study provides a working tool for healthcare professionals to address sexuality in clinical practice (AU)
Subject(s)
Humans , Female , Pregnancy , Adult , Sexual Behavior , Pregnancy/psychology , Perception , Reproductive Health/trends , Prenatal Diagnosis/psychology , Sex Education/trends , Sexuality , Prospective Studies , Surveys and Questionnaires , Data Analysis/methods , Confidence IntervalsABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Medical Laboratory Science/methods , Clinical Laboratory Techniques/instrumentation , Evidence-Based Medicine/methods , Evidence-Based Medicine/trends , Evidence-Based Practice/instrumentation , Practice Guidelines as Topic/standards , Webcasts as Topic , Internet/trends , InternetSubject(s)
Biomedical Research/education , Health Personnel/education , Needs Assessment , Adult , Female , Humans , Male , Middle Aged , Surveys and QuestionnairesABSTRACT
No disponible
