Changes in Cancer Screening Knowledge Among a Prospective Cohort of Spanish-Speaking Hispanic Community Outreach Event Participants in Florida and Puerto Rico.

The current study examined cancer prevention and early detection awareness (pre-workshop) and changes in knowledge (from pre- to post-workshop) among Hispanic/Latino (H/L) community members who participated in Spanish-language educational outreach events in Puerto Rico (PR) and Florida (FL). Spanish-language educational outreach events were comprised of an educational session lasting approximately 45-60 min and were delivered to groups in rural and urban community settings by a single trained community health educator (CHE). The research team assessed sociodemographic characteristics, personal and familial cancer health history, as well as awareness and knowledge (pre-test) of a range of cancer prevention and screening topics. Following the presentation, participants completed a post-test knowledge survey which also measured likelihood of engaging in cancer screening, cancer preventive behaviors, and cancer research as a result of information presented during the session. Change in the average knowledge score was evaluated using a paired samples t-test. Post-session likelihood of completing cancer screening and preventive behaviors and engaging in cancer research were examined using descriptive statistics and group/site comparisons. The percentage reporting awareness of screening procedures ranged from 33% (PSA test) to 79% (mammogram). H/L in PR reported higher percentage of stool blood test awareness when compared to H/L in FL (χ2(1)= 19.20, p<.001). The average knowledge score increased from 5.97 at pre-test to 7.09 at post-test (Cohen's d=0.69). The increase was significant across all participants (t(315)= 12.4, p<.001), as well as within the FL site (t(124)= 6.66, p<.001, d=0.59) and the PR site (t(190)=10.66, p<.001, d=0.77). Results from this study suggest that educational outreach events delivered to H/L community members by a CHE are valuable strategies to address challenges regarding cancer screening knowledge and engagement in multiple behaviors.

Treating Acute Leukemia During the COVID-19 Pandemic in an Environment With Limited Resources: A Multicenter Experience in Four Latin American Countries.

PURPOSE: The COVID-19 pandemic is a colossal challenge for global health; nonetheless, specific subgroups face considerably higher risks for infection and mortality. Among patients with malignant diseases, those with hematologic neoplasms are at a higher risk for poor outcomes. The objective of this study was to register treatment modifications associated with the COVID-19 pandemic and their short-term consequences in Latin America. METHODS: Multicenter, prospective, observational, cohort study including patients older than 14 years from 14 centers in four countries (Mexico, Peru, Guatemala, and Panama) who had a confirmed diagnosis of acute leukemia, and who were undergoing active treatment since the first COVID-19 case in each country until the cutoff on July 15, 2020. RESULTS: We recruited 635 patients. Treatment modifications because of the COVID-19 pandemic were reported in 40.8% of cases. The main reason for such modifications was logistic issues (55.0%) and the most frequent modification was chemotherapy delay (42.0%). A total of 13.1% patients developed COVID-19 disease, with a mortality of 37.7%. Several factors were identified as independently associated with mortality, including a diagnosis of acute myeloid leukemia (odds ratio 2.38 [95% CI, 1.47 to 3.84]; P < .001), while the use of telemedicine was identified as a protective factor (odds ratio 0.36 [95% CI, 0.18 to 0.82]; P = .014). CONCLUSION: These results highlight the collateral damage of COVID-19 in oncology patients.

Estilo personal del terapeuta en psicólogos pasantes en proyecto piloto en universidad Santo Tomás, sede la Serena / Personal style of the therapist in psychologists in basic intervention skills training: a pilot project at university Santo Tomas, la Serena

La presente investigación presenta la relación entre el proceso formativo en entrenamiento de habilidades básicas de intervención y el estilo personal del terapeuta (EPT), en un grupo de 10 pasantes en el Centro de Atención Psicológica CAPS La Serena, Psicólogas/os egresadas/os en el 2018 de la carrera de Psicología de la Universidad Santo Tomás, sede La Serena. El diseño del estudio es preexperimental de tipo longitudinal, con aplicación pre o post, con el cuestionario del estilo personal del terapeuta o EPT-C (Fernández Álvarez, Garcia, LoBianco y Corbella, 2003), instrumento autoadministrado con 36 afirmaciones en una escala Likert del 1 al 7 según el grado de acuerdo, que permite un análisis multidimensional de las funciones del constructo EPT, instruccional, atencional, expresiva, operacional e involucración. Se describen los resultados de la aplicación EPT-C pre y post entrenamiento, en tanto, no se observan cambios significativos en la muestra.

This research introduces the relationship between the formative process in basic intervention skills training and the Personal Style of the Therapist (PST) in a group of 10 interns at the Centro de Atención Psicológica CAPS, La Serena. The interns are psychologists who graduated from the psychology career of the Universidad Santo Tomás in 2018, La Serena campus. This study has a pre-experimental and longitudinal design, with pre-test or post-test application. The Personal Style of the Therapist Questionnaire or PST-Q (Fernández Álvarez, Garcia, LoBianco and Corbella, 2003) was used as a self-administered instrument with 36 responses on a Likert-type scale from 1 to 7 according to the level of agreement, which allows multidimensional analysis of the functions of the PST construct: instructional, attentional, expressive, operational and involvement. The result describes the pre and post-training PST-Q application with no significant changes in the sample.

The Development of a Clinical Peer Review Tool.

Faculty evaluation for the purpose of promotion and tenure frequently includes peer review as a part of the process. Faculty review by a peer may provide an assessment of teaching effectiveness and information related to the faculty member's professional development activities. This article presents an innovative, evidence-based approach using selected National League for Nursing core competencies and International Nursing Association for Clinical Simulation and Learning clinical simulation standards in the development of a faculty peer review tool to gather data on clinical teaching to be used during the promotion and tenure process.

[High-intensity chemotherapy versus palliative chemotherapy in patients over 60 years with acute myeloid leukemia]. / Quimioterapia intensa frente a quimioterapia paliativa en pacientes con leucemia mieloblástica mayores de 60 años.

BACKGROUND: The use of high-intensity chemotherapy (HIC) for acute myeloid leukemia (AML) in the elderly is controversial. In the present study, it was assessed complete remission and overall survival of AML patients over 60 years treated with HIC or palliative chemotherapy. METHODS: Patients with ECOG ≤ 2 and adequate organic function received HIC with a base of cytarabine for five or seven days, and an anthracycline for three days. If patients achieved complete remission of leukemia, they received one or two cycles of consolidation with cytarabine. Palliative treatment consisted of supported measures and/or oral or intravenous low-dose chemotherapy. RESULTS: Seven patients treated with HIC achieved complete remission versus only one in the palliative group. Only one patient died during HIC treatment. Median survival for HIC-treated patients was 13.25 months, and only 3.35 months for patients treated with palliative therapy (p < 0.05). CONCLUSION: AML patients of 60 years or older, with good performance status (ECOG ≤ 2) and adequate organ function, may benefit from HIC treatment, with better survival, compared with palliative therapy.

Introducción: el tratamiento con quimioterapia intensa (QTI) en pacientes con leucemia mieloblástica (LMA) mayores de 60 años es controversial. En el presente estudio se evaluó la remisión completa y la supervivencia global de pacientes con LMA mayores de 60 años, tratados con QTI o quimioterapia paliativa. Métodos: los pacientes con adecuada función orgánica y ECOG ≤ 2 recibieron QTI a base de citarabina por cinco o siete días más un antracíclico por tres días y terapia de soporte. En caso de lograr remisión completa de la leucemia recibieron uno o dos ciclos de consolidación con citarabina. El tratamiento paliativo consistió en medidas de soporte o quimioterapia oral o intravenosa en dosis bajas. Resultados: del grupo de QTI siete pacientes alcanzaron remisión completa, comparados con uno del grupo de quimioterapia paliativa. La supervivencia global fue de 13.25 meses para los pacientes con QTI y de 3.35 meses para los pacientes de quimioterapia paliativa (p < 0.05). Conclusión: es posible que los pacientes con LMA mayores de 60 años de edad se beneficien de recibir QTI, comparada con la quimioterapia paliativa.

Pediatric rehabilitation nursing: Education and certification.

Pediatric rehabilitation nurses specialize in providing care and services to children and adolescents with disabilities. Although few formal education experiences exist, there are a myriad of opportunities to gain the knowledge, skills, and expertise to provide the care that yields the most benefit to this population. Certification recognizes the nurse's proficiency and excellence in a specialty practice area. Examples of certification options for pediatric rehabilitation nurses include Certified Rehabilitation Registered Nurse (CRRN), Registered Nurse Certification in Developmental Disabilities (CDDN), Certified Pediatric Nurse (CPN), Clinical Nurse Specialist (CNS), and Certified Pediatric Nurse Practitioner (CPNP).