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1.
Med Sci Monit ; 27: e929280, 2021 Apr 07.
Artículo en Inglés | MEDLINE | ID: mdl-33824264

RESUMEN

BACKGROUND In addition to sociodemographic and COVID-19- related factors, the needs of school support, including material, psychological and information support, have seldom been discussed as factors influencing anxiety and depression among college students during the COVID-19 pandemic. MATERIAL AND METHODS In this cross-sectional study, 3351 college students from China were surveyed through questionnaires about their sociodemographic and COVID-19 characteristics, the needs of school support, and their experiences with anxiety and depression. RESULTS Anxiety and depression were reported by 6.88% and 10.50% of students, respectively. Married, higher education, non-medical, and urban students had significantly higher risks of anxiety or depression. Additionally, symptoms such as cough and fever, especially when following a possible contact with suspected individuals, quarantine history of a personal contact, going out 1-3 times a week, not wearing a mask, and spending 2-3 hours browsing COVID-19-related information were significantly associated with the occurrence of anxiety or depression. Those who used methods to regulate their emotional state, used a psychological hotline, and who had visited a psychiatrist showed higher anxiety or depression. Those who used online curricula and books, used preventive methods for COVID-19, and who had real-time information about the epidemic situation of the school showed lower anxiety and depression. CONCLUSIONS In addition to sociodemographic and COVID-19-related aspects, students' needs for psychological assistance and information from schools were also associated with anxiety and depression among college students.


Asunto(s)
Ansiedad/epidemiología , Depresión/epidemiología , Instituciones Académicas/organización & administración , Estudiantes/psicología , Adolescente , Adulto , Ansiedad/prevención & control , Ansiedad/psicología , /prevención & control , China/epidemiología , Control de Enfermedades Transmisibles/normas , Estudios Transversales , Depresión/prevención & control , Depresión/psicología , Femenino , Apoyo Financiero , Educación en Salud/organización & administración , Educación en Salud/estadística & datos numéricos , Líneas Directas/organización & administración , Líneas Directas/estadística & datos numéricos , Humanos , Difusión de la Información , Masculino , Salud Mental , Pandemias/prevención & control , Prevalencia , Sistemas de Apoyo Psicosocial , Instituciones Académicas/economía , Instituciones Académicas/normas , Factores Socioeconómicos , Estudiantes/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos , Adulto Joven
2.
BMC Cancer ; 21(1): 236, 2021 Mar 06.
Artículo en Inglés | MEDLINE | ID: mdl-33676431

RESUMEN

BACKGROUND: Chemotherapy-induced peripheral neuropathy (CIPN) negatively affects physical function and chemotherapy dosing, yet, clinicians infrequently document CIPN assessment and/or adhere to evidence-based CIPN management in practice. The primary aims of this two-phase, pre-posttest study were to explore the impact of a CIPN clinician decision support algorithm on clinicians' frequency of CIPN assessment documentation and adherence to evidence-based management. METHODS: One hundred sixty-two patients receiving neurotoxic chemotherapy (e.g., taxanes, platinums, or bortezomib) answered patient-reported outcome measures on CIPN severity and interference prior to three clinic visits at breast, gastrointestinal, or multiple myeloma outpatient clinics (n = 81 usual care phase [UCP], n = 81 algorithm phase [AP]). During the AP, study staff delivered a copy of the CIPN assessment and management algorithm to clinicians (N = 53) prior to each clinic visit. Changes in clinicians' CIPN assessment documentation (i.e., index of numbness, tingling, and/or CIPN pain documentation) and adherence to evidence-based management at the third clinic visit were compared between the AP and UCP using Pearson's chi-squared test. RESULTS: Clinicians' frequency of adherence to evidence-based CIPN management was higher in the AP (29/52 [56%]) than the UCP (20/46 [43%]), but the change was not statistically significant (p = 0.31). There were no improvements in clinicians' CIPN assessment frequency during the AP (assessment index = 0.5440) in comparison to during the UCP (assessment index = 0.6468). CONCLUSIONS: Implementation of a clinician-decision support algorithm did not significantly improve clinicians' CIPN assessment documentation or adherence to evidence-based management. Further research is needed to develop theory-based implementation interventions to bolster the frequency of CIPN assessment and use of evidence-based management strategies in practice. TRIAL REGISTRATION: ClinicalTrials.Gov, NCT03514680 . Registered 21 April 2018.


Asunto(s)
Antineoplásicos/efectos adversos , Toma de Decisiones Clínicas/métodos , Técnicas de Apoyo para la Decisión , Neoplasias/tratamiento farmacológico , Enfermedades del Sistema Nervioso Periférico/diagnóstico , Adulto , Anciano , Algoritmos , Medicina Basada en la Evidencia/normas , Estudios de Factibilidad , Femenino , Adhesión a Directriz/estadística & datos numéricos , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Enfermeras Practicantes/estadística & datos numéricos , Medición de Resultados Informados por el Paciente , Enfermedades del Sistema Nervioso Periférico/inducido químicamente , Enfermedades del Sistema Nervioso Periférico/terapia , Asistentes Médicos/estadística & datos numéricos , Médicos/estadística & datos numéricos , Guías de Práctica Clínica como Asunto , Calidad de Vida , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios/estadística & datos numéricos
3.
PLoS One ; 16(3): e0248892, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33760836

RESUMEN

BACKGROUND: High levels of vaccination coverage in populations will be required even with vaccines that have high levels of effectiveness to prevent and stop outbreaks of coronavirus. The World Health Organisation has suggested that governments take a proactive response to vaccine hesitancy 'hotspots' based on social and behavioural insights. METHODS: Representative longitudinal online survey of over 3000 adults from Australia that examines the demographic, attitudinal, political and social attitudes and COVID-19 health behavior correlates of vaccine hesitance and resistance to a COVID-19 vaccine. RESULTS: Overall, 59% would definitely get the vaccine, 29% had low levels of hesitancy, 7% had high levels of hesitancy and 6% were resistant. Females, those living in disadvantaged areas, those who reported that risks of COVID-19 was overstated, those who had more populist views and higher levels of religiosity were more likely to be hesitant or resistant while those who had higher levels of household income, those who had higher levels of social distancing, who downloaded the COVID-Safe App, who had more confidence in their state or territory government or confidence in their hospitals, or were more supportive of migration were more likely to intend to get vaccinated. CONCLUSIONS: Our findings suggest that vaccine hesitancy, which accounts for a significant proportion of the population can be addressed by public health messaging but for a significant minority of the population with strongly held beliefs, alternative policy measures may well be needed to achieve sufficient vaccination coverage to end the pandemic.


Asunto(s)
/administración & dosificación , Aceptación de la Atención de Salud/psicología , Negativa a la Vacunación/psicología , Adulto , Anciano , Anciano de 80 o más Años , Australia/epidemiología , /psicología , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Pandemias/prevención & control , Aceptación de la Atención de Salud/estadística & datos numéricos , Salud Pública/tendencias , Encuestas y Cuestionarios/estadística & datos numéricos , Vacunación/estadística & datos numéricos , Negativa a la Vacunación/estadística & datos numéricos
4.
Med Care ; 59(4): 283-287, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33704102

RESUMEN

BACKGROUND: While optimal utilization of the nurse practitioner (NP) workforce is an increasingly popular proposal to alleviate the growing primary care shortage, federal, state, and organizational scope of practice policies inhibit NPs from practicing to the full extent of their license and training. In March of 2020, NP state-specific supervisory requirements were temporarily waived to meet the demands of the coronavirus disease 2019 (COVID-19) pandemic in Massachusetts. OBJECTIVE: The objective of this study was to examine the impact of temporarily waived state practice restrictions on NP perception of care delivery during the initial surge of the COVID-19 pandemic in Massachusetts. RESEARCH DESIGN: Mixed methods descriptive analysis of a web-based survey of Massachusetts NPs (N=391), conducted in May and June 2020. RESULTS: The vast majority (75%) of NPs believed the temporary removal of practice restriction did not perceptibly improve clinical work. Psychiatric mental health NPs were significantly more likely than other NP specialties to believe the waiver improved clinical work (odds ratio=6.68, P=0.001). NPs that experienced an increase in working hours during the pandemic surge were also more likely to report a positive effect of the waiver (odds ratio=2.56, P=0.000). CONCLUSIONS: Temporary removal of state-level practice barriers alone is not sufficient to achieve immediate full scope of practice for NPs. The successful implementation of modernized scope of practice laws may require a collective effort to revise organizational and payer policies accordingly.


Asunto(s)
/terapia , Enfermeras Practicantes/organización & administración , Pandemias/prevención & control , Pautas de la Práctica en Enfermería/organización & administración , Atención Primaria de Salud/organización & administración , /diagnóstico , Certificación , Implementación de Plan de Salud , Humanos , Concesión de Licencias , Massachusetts/epidemiología , Enfermeras Practicantes/legislación & jurisprudencia , Pautas de la Práctica en Enfermería/legislación & jurisprudencia , Atención Primaria de Salud/legislación & jurisprudencia , Autonomía Profesional , Encuestas y Cuestionarios/estadística & datos numéricos , Recursos Humanos/legislación & jurisprudencia , Recursos Humanos/organización & administración
5.
Front Public Health ; 9: 644235, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33748071

RESUMEN

The Republic of Slovenia implements the largest longitudinal database of child physical fitness in the world-SLOfit. Slovenia has some of the most physically active children globally, and it has responded rapidly to incorporate national physical activity (PA) interventions throughout the COVID-19 pandemic. Despite aggressive campaigns to maintain PA at home, the country has seen a tremendous decrease in child physical fitness over the past several months as self-isolation measures have been mandated by national authorities. These trends prompted researchers to create a method of tracking and communicating government decisions which have a direct impact on child physical activity, fitness and overall health (i.e., the SLOfit Barometer). The research team assembled experts for consultation on creation of the SLOfit Barometer after processing preliminary data on 20,000 schoolchildren which found the greatest decline in child physical fitness since systematic testing began more than 30 years ago. Only 2 months of self-isolation erased over 10 years of hard-fought health gains acquired from national public health policies and PA interventions. This crisis in child fitness requires integrated community participation and a robust public health policy response, and with the SLOfit Barometer acting as a national bellwether system, it is envisioned that policy makers and the public will advocate for bold, progressive actions to combat this national health emergency. This surveillance tool tracks government action to combat the increasing child physical inactivity and obesity trends brought on as a direct result of COVID-19 isolation regulations.


Asunto(s)
/psicología , Promoción de la Salud , Aptitud Física/fisiología , Salud Pública , Cuarentena , Encuestas y Cuestionarios/estadística & datos numéricos , Adolescente , Niño , Preescolar , Humanos , Eslovenia
6.
Medicine (Baltimore) ; 100(10): e25052, 2021 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-33725890

RESUMEN

ABSTRACT: The nurse-led program is associated with a short-term improvement of mental health status (MHS) and quality of life (QOL) in patients with chronic heart failure (CHF). Nonetheless, the long-term effect of this program is undetermined. The aims of the current study were to evaluate the 1-year effects of the nurse-led program on MHS, QOL, and heart failure (HF) rehospitalization among patients with CHF.CHF patients in the control group received standard care, and patients in the treatment group received standard care plus telehealth intervention including inquiring patients' medical condition, providing feedbacks, counseling and providing positive and emotional talk with the patients. At the third, sixth, and twelfth month's follow-up, patients were called by registered nurses to assess the Mental Health Inventory-5 (MHI-5) and Kansas City Cardiomyopathy Questionnaire (KCCQ) scores. HF rehospitalization was also assessed.A total of 300 patients were included and 46% (n = 138) of the patients were in the treatment group. There were no significant between-group differences in the MHI-5 and KCCQ scores at baseline. In the control group, the MHI-5 score was gradually decreased with follow-up and the score was significantly lower than that in the treatment group since the third month's follow-up (63.5 ±â€Š10.6 vs 73.6 ±â€Š10.3). Compared with the treatment group, KCCQ score was lower in the control group from the third month's follow-up (64.3 ±â€Š10.6 vs 73.5 ±â€Š12.3) until the end of the twelfth months' follow-up (45.3 ±â€Š11.2 vs 60.8 ±â€Š11.1). During 12 months' follow-up, the proportion of patients who experienced HF rehospitalization was lower in the treatment group (19.6% vs 24.1%). After adjusting for covariates, the utilization of the nurse-led program, and increase of MHI-5 and KCCQ scores were associated with reduced risk of HF rehospitalization.The nurse-led program is beneficial for the improvement of MHS and QOL for CHF patients, which might contribute to the reduction of HF rehospitalization.


Asunto(s)
Estado de Salud , Insuficiencia Cardíaca/terapia , Salud Mental/estadística & datos numéricos , Pautas de la Práctica en Enfermería/organización & administración , Consulta Remota/organización & administración , Adulto , Anciano , Enfermedad Crónica/terapia , Femenino , Estudios de Seguimiento , Insuficiencia Cardíaca/psicología , Humanos , Masculino , Persona de Mediana Edad , Readmisión del Paciente/estadística & datos numéricos , Pautas de la Práctica en Enfermería/estadística & datos numéricos , Estudios Prospectivos , Calidad de Vida , Nivel de Atención/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos , Resultado del Tratamiento
7.
Medicine (Baltimore) ; 100(7): e24849, 2021 Feb 19.
Artículo en Inglés | MEDLINE | ID: mdl-33607857

RESUMEN

ABSTRACT: This study aimed to translate the Body Image Disturbance Questionnaire (BIDQ) into Chinese and evaluate its reliability and validity in a sample of patients with systemic lupus erythematosus (SLE).Following the translation and revision of the Chinese version of the BIDQ, 169 patients with SLE were chosen as respondents to test the questionnaire's reliability and validity. We tested the content's validity through expert group evaluation. It is structural validity was examined through exploratory factor analysis and confirmatory factor analysis, and reliability was evaluated using Cronbach's α and test-retest reliability.The Chinese version of the BIDQ showed a content validity of .92. A two-factor structure was revealed by exploratory factor analysis, which explained 67.83% of the variance and proved by confirmatory factor analysis. Its overall Cronbach's α was .82 (P  < .001), and the Cronbach's α for each item ranged from .76 to .83. The test-retest reliability was .82, with the Cronbach's α for each item ranging from .76 to .84.Thus, adequate reliability and validity of the Chinese version of the BIDQ were demonstrated for use in patients with SLE.


Asunto(s)
Trastorno Dismórfico Corporal/psicología , Lupus Eritematoso Sistémico/psicología , Encuestas y Cuestionarios/estadística & datos numéricos , Adulto , Trastorno Dismórfico Corporal/diagnóstico , China/epidemiología , Análisis Factorial , Femenino , Humanos , Lupus Eritematoso Sistémico/epidemiología , Persona de Mediana Edad , Prevalencia , Reproducibilidad de los Resultados , Traducciones
8.
Health Qual Life Outcomes ; 19(1): 44, 2021 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-33546701

RESUMEN

BACKGROUND: Catastrophizing has been recognized as an important contributor to chronicity in individuals with chronic pain syndromes including low back pain (LBP). The Pain Catastrophizing Scale (PCS) is perhaps the most widely used tool to evaluate the degree of pain catastrophizing. However, its use is limited in Hausa-speaking countries due to the lack of a validated translated version. OBJECTIVE: To translate and cross-culturally adapt the PCS into Hausa (Hausa-PCS), and evaluate its psychometric properties in mixed urban and rural patients with chronic LBP. METHODS: The PCS was translated and cross-culturally adapted into Hausa in accordance with established guidelines. To evaluate its psychometric properties, a consecutive sample of 200 patients with chronic LBP was recruited from urban and rural Nigerian hospitals. Validity was evaluated by exploring content validity, factorial structure (confirmatory factor analysis [CFA]), construct validity (Spearman's rho for a priori hypotheses) and known-groups validity. Reliability was evaluated by calculating internal consistency (Cronbach's α), intraclass correlation coefficient (ICC), standard error of measurement (SEM), minimal detectable change (MDC) and limits of agreement with 95% confidence interval (LOA95%). RESULTS: The Hausa-PCS was comprehensible with good content validity. The CFA confirmed a 3-factor structure similar to the original English version. The concurrent validity was supported as 83% (5/6) of the a priori hypotheses were confirmed. Known-groups comparison showed that the questionnaire was unable to differentiate between male and female or urban and rural patients (p > 0.05). Internal consistency and ICC were adequate for the Hausa-PCS total score (α = 0.84; ICC = 0.90) and the subscale helplessness (α = 0.78; ICC = 0.89) but for the subscales rumination (α = 0.69; ICC = 0.68) and magnification (α = 0.41; ICC = 0.43). The LOA95% for the Hausa-PCS total score was between - 8.10 and + 9.75, with SEM and MDC of 3.47 and 9.62 respectively. CONCLUSION: The Hausa-PCS was successfully developed and psychometrically adequate in terms of factorial structure, construct validity, internal consistency and test-retest reliability when applied in mixed urban and rural patients with chronic LBP. However, the internal consistency and reliability coefficients (ICC) for the individual subscales are inadequate. Thus, we support the use of the total score when evaluating pain catastrophizing for clinical or research purposes.


Asunto(s)
Catastrofización/psicología , Dolor Crónico/psicología , Dolor de la Región Lumbar/psicología , Encuestas y Cuestionarios/estadística & datos numéricos , Adulto , Catastrofización/diagnóstico , Dolor Crónico/diagnóstico , Comparación Transcultural , Análisis Factorial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría/normas , Calidad de Vida , Reproducibilidad de los Resultados , Población Rural/estadística & datos numéricos , Traducciones , Población Urbana/estadística & datos numéricos
9.
Ann R Coll Surg Engl ; 103(2): 120-129, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33559556

RESUMEN

INTRODUCTION: Recent consensus guidelines suggest that the laparoscopic approach may be a useful, safe and feasible approach in emergency general surgery. Despite this, the UK National Emergency Laparotomy Audit (NELA) suggests the rate of laparoscopy is low (9% fully laparoscopic) and slow to increase over time. A European survey found uptake to be variable. This UK survey was therefore undertaken to establish current UK practice and to determine factors affecting implementation. MATERIALS AND METHODS: A questionnaire survey of currently practising UK consultant general surgeons was carried out by the North West Surgical Research Collaborative, using a secure web-based database maintained by the North West Surgical Trials Centre. RESULTS: A total of 151 completed questionnaires were returned from 22 UK centres; 18% of respondents were unaware that laparoscopic cases should be reported to NELA. Appendicectomy (97%) and cholecystectomy (87%) were routinely performed laparoscopically. Laparoscopy was infrequently used in perforation, ischaemia or obstructed hernias. There appears to be equipoise regarding laparoscopic compared with open surgery in small-bowel obstruction among all subspecialty emergency general surgeons, in perforated peptic ulcer among upper gastrointestinal surgeons and in Hinchey III diverticulitis among colorectal surgeons. CONCLUSION: Uptake of laparoscopy in UK emergency general surgery is influenced by surgeon preference, subspecialty, patient and operative factors. Further research into outcomes may help to identify areas of greatest potential benefit. The rate of laparoscopy reported by NELA may be an underestimate due to the 18% of surgeons unaware that laparoscopic cases should be reported, which may affect the validity of analyses performed from this dataset.


Asunto(s)
Tratamiento de Urgencia/estadística & datos numéricos , Laparoscopía/estadística & datos numéricos , Pautas de la Práctica en Medicina/estadística & datos numéricos , Consenso , Consultores/estadística & datos numéricos , Tratamiento de Urgencia/normas , Humanos , Laparoscopía/normas , Guías de Práctica Clínica como Asunto , Pautas de la Práctica en Medicina/normas , Cirujanos/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos , Reino Unido
10.
Am J Prev Med ; 60(4): 453-461, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33602534

RESUMEN

INTRODUCTION: During the COVID-19 pandemic, the rates of food insecurity and mental illness have been projected to increase in the U.S. owing to significant social and economic disruption. This study aims to estimate the prevalence of food insufficiency (often the most extreme form of food insecurity), the correlates of food insufficiency, and the associations between food insufficiency and symptoms of poor mental health in the U.S. during the COVID-19 pandemic. METHODS: Cross-sectional data from 63,674 participants of the U.S. Census Household Pulse Survey were collected and analyzed in 2020. Multiple Poisson regression models were used to estimate associations with food insufficiency. RESULTS: Food insufficiency rose from 8.1% to 10.0% from March to June 2020. Factors associated with food insufficiency included lower age, Black/African American or Latinx race/ethnicity, being unmarried, larger household size, recent employment loss, income below the federal poverty line, and lower education (all p<0.001). Food insufficiency was independently associated with all symptoms of poor mental health, adjusting for socioeconomic and demographic factors (adjusted RRs ranged from 1.16 to 1.42, all p<0.001). The association between food insufficiency and poor mental health was attenuated among people who received free groceries or meals. CONCLUSIONS: Food insufficiency has increased during the COVID-19 pandemic and affects vulnerable populations, placing individuals at higher risk for symptoms of poor mental health. Particularly in the current crisis, clinicians should regularly screen patients for food insufficiency and mental health outcomes as well as provide support in accessing appropriate resources.


Asunto(s)
/epidemiología , Trastornos Mentales/epidemiología , Salud Mental/estadística & datos numéricos , Pandemias/economía , Adulto , /economía , Estudios Transversales , Femenino , Abastecimiento de Alimentos/economía , Humanos , Masculino , Trastornos Mentales/psicología , Salud Mental/economía , Persona de Mediana Edad , Prevalencia , Factores de Riesgo , Factores Socioeconómicos , Encuestas y Cuestionarios/estadística & datos numéricos , Estados Unidos/epidemiología
11.
Cancer Radiother ; 25(1): 45-50, 2021 Feb.
Artículo en Francés | MEDLINE | ID: mdl-33402288

RESUMEN

PURPOSE: The annual follow-up in radiotherapy for prostate cancer consists of an oral interview with a radiation oncologist. The present study aimed at surveying the target population on their knowledge and perceptions of telemedicine. MATERIALS AND METHODS: A prospective study was conducted at the Lucien Neuwirth Cancer Institute (France) that included patients with prostate cancer undergoing treatment or in follow-up, during spring 2019 (n=158). A specific questionnaire was designed for the study. Patient's self-evaluation of satisfaction and enthusiasm was assessed through visual analog scale (VAS) (0/10 to 10/10). RESULTS: One hundred and fifty-eight patients completed the survey. The vast majority of the population commonly used phone for communication and 56% of patients owned internet connexion. Around 56% of patients declared telemedicine knowledge without having ever experienced telemedicine. If 60.8% of patients would not be against telemedicine with a median enthusiasm VAS of 6/10, patients' opinions were divergent: 48.7% of patients would like to keep a classical follow-up and 48.7% of patients would envision to alternate classical consultation with telemedicine. CONCLUSION: This feasibility study with an aged cohort showed that telemedicine is a valuable option for long-term radiotherapy follow-up, even if therapeutic education and information will be necessary to supervise this novel approach.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Neoplasias de la Próstata/radioterapia , Telemedicina/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Estudios de Factibilidad , Estudios de Seguimiento , Humanos , Internet/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Encuestas y Cuestionarios/estadística & datos numéricos , Teléfono/estadística & datos numéricos
12.
Nat Commun ; 12(1): 587, 2021 01 26.
Artículo en Inglés | MEDLINE | ID: mdl-33500407

RESUMEN

While Digital contact tracing (DCT) has been argued to be a valuable complement to manual tracing in the containment of COVID-19, no empirical evidence of its effectiveness is available to date. Here, we report the results of a 4-week population-based controlled experiment that took place in La Gomera (Canary Islands, Spain) between June and July 2020, where we assessed the epidemiological impact of the Spanish DCT app Radar Covid. After a substantial communication campaign, we estimate that at least 33% of the population adopted the technology and further showed relatively high adherence and compliance as well as a quick turnaround time. The app detects about 6.3 close-contacts per primary simulated infection, a significant percentage being contacts with strangers, although the spontaneous follow-up rate of these notified cases is low. Overall, these results provide experimental evidence of the potential usefulness of DCT during an epidemic outbreak in a real population.


Asunto(s)
/epidemiología , Trazado de Contacto/métodos , Aplicaciones Móviles/estadística & datos numéricos , Pandemias/prevención & control , Cooperación del Paciente/estadística & datos numéricos , Adolescente , Adulto , Distribución por Edad , /transmisión , Trazado de Contacto/estadística & datos numéricos , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Privacidad , Teléfono Inteligente , España/epidemiología , Encuestas y Cuestionarios/estadística & datos numéricos , Adulto Joven
15.
AJR Am J Roentgenol ; 216(3): 806-811, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33474980

RESUMEN

OBJECTIVE. The purpose of this study was to evaluate the level of agreement in diagnostic probability for selected phrases among radiologists and emergency medicine (EM) physicians. MATERIALS AND METHODS. A survey was distributed to the radiologists and EM physicians at our academic institution. Respondents selected the degree of diagnostic probability they believe was conveyed by 18 commonly used phrases chosen from studies in the radiology literature. Potential responses for the degree of diagnostic probability were < 10%, ≈ 25%, ≈ 50%, ≈ 75%, and > 90%. RESULTS. Seventy-eight percent (28/36) of EM residents and 56% (14/25) of EM attending physicians (combined fellows and attending physicians) completed the survey; 83% (15/18) of radiology residents and 81% (17/21) of radiology attending physicians completed the survey. There was a high degree of shared understanding for most phrases between the departments except for the phrase "compatible with," which was associated with a higher degree of diagnostic probability by radiologists than by EM physicians (p = .02). Although no term was significantly more specific than any other within the ≈ 50% category or below, "most likely" and "diagnostic of" were significantly more specific than other terms in the ≈ 75% and > 90% categories, respectively. CONCLUSION. The results of this study show a high degree of shared understanding between radiologists and EM physicians for most of the phrases (17/18) in the survey. The only phrase that showed a significant difference was "compatible with." These results can be used to generate diagnostic probability groups with suggested phrases that can be used when creating radiology reports, thereby improving communication with the emergency department.


Asunto(s)
Comprensión , Medicina de Emergencia/estadística & datos numéricos , Registros Médicos , Cuerpo Médico/estadística & datos numéricos , Radiólogos/estadística & datos numéricos , Terminología como Asunto , Humanos , Internado y Residencia/estadística & datos numéricos , Probabilidad , Encuestas y Cuestionarios/estadística & datos numéricos
16.
Minerva Obstet Gynecol ; 73(2): 261-267, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33435661

RESUMEN

BACKGROUND: Since COVID-19 was declared a pandemic, governments have taken actions to limit the transmission of the virus such as lockdown measures and reorganization of the local Health System. Quarantine measures have influenced pregnant women's daily lives. The aim of this study was to understand the impact of the changes imposed by COVID-19 emergency on the well-being of pregnant women and how the transformation of Schiavonia Hospital into a dedicated COVID hospital affected their pregnancy experience. METHODS: A cross-sectional survey was conducted. Pregnant women who gave birth in Schiavonia Hospital during the period May-September 2020 have been included. The assessment examined clinical characteristics, attitudes in relation to the pandemic and how it affected birth plans, perception of information received, and attitudes regards giving birth in a COVID hospital. RESULTS: One hundred four women responded to the survey, with an enrolment rate of 58%. About the influence of COVID-19 pandemic, 51% of respondents reported changing some aspect of their lifestyle. The identification of Schiavonia Hospital as COVID hospital did not modify the trust in the facility and in the obstetrics ward for the 90% of women, in fact for the 85.6% it was the planned Birth Center since the beginning of pregnancy. The communication was complete and exhaustive for 82.7% of the respondents. CONCLUSIONS: Despite the COVID hospital transformation, the women who came to give birth at Schiavonia Birth Center rated the healthcare assistance received at high level, evidencing high affection for the structure and the healthcare workers.


Asunto(s)
Actitud Frente a la Salud , Salas de Parto/organización & administración , Parto Obstétrico , Mujeres Embarazadas/psicología , Adulto , Estudios Transversales , Femenino , Clausura de las Instituciones de Salud , Hospitales de Aislamiento/organización & administración , Humanos , Italia/epidemiología , Estilo de Vida , Pandemias , Paridad , Embarazo , Atención Prenatal/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos , Mujeres Trabajadoras/estadística & datos numéricos , Adulto Joven
17.
Surg Radiol Anat ; 43(4): 531-535, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33386929

RESUMEN

PURPOSE: COVID 19 pandemic has brought crucial changes in the field of medical education. Ad mist university examinations in India medical schools have switched to online assessment methods to avoid student gatherings. In this context, we conducted online anatomy practical evaluation and we have aimed at quantifying the students' experience on virtual assessment. METHODS: A total of 250 first year MBBS students appeared for online anatomy practical examinations. Immediately after the completion of exams electronic feedback about their experience, in questionnaire format was obtained after getting informed consent. Their feedback was analysed and quantified. RESULTS: Completed feedback forms were submitted by 228 students. More than 50% of students favoured online anatomy spotter examinations. Only 32.8% of students were comfortable with soft parts discussion using images. For image based viva voce 61.4%, 80% & 82% of students responded that the features and orientation of osteology, radiology and embryology images, respectively, were good. For surface marking 55% of the participants preferred online verbal evaluation. Finally, more than 60% of the students preferred the conventional over online assessment methods. CONCLUSIONS: The inclination of students' preference for traditional anatomy examination methods mandates adequate training of both students and teachers for virtual examination. The superiority of conventional anatomy practical examination methods is unbiased but pandemic situations warrant adequate preparedness. In the future the anatomy teaching and evaluation methodology in Indian medical schools have to be drastically reviewed in equivalence with global digitalization.


Asunto(s)
Anatomía/educación , Educación a Distancia/métodos , Educación de Pregrado en Medicina/métodos , Evaluación Educacional/métodos , Anatomía/estadística & datos numéricos , /transmisión , Control de Enfermedades Transmisibles/normas , Comportamiento del Consumidor/estadística & datos numéricos , Curriculum , Educación a Distancia/normas , Educación a Distancia/estadística & datos numéricos , Educación de Pregrado en Medicina/normas , Educación de Pregrado en Medicina/estadística & datos numéricos , Evaluación Educacional/estadística & datos numéricos , Humanos , India/epidemiología , Pandemias/prevención & control , Facultades de Medicina/normas , Estudiantes de Medicina/psicología , Estudiantes de Medicina/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos
18.
Nat Commun ; 12(1): 160, 2021 01 08.
Artículo en Inglés | MEDLINE | ID: mdl-33420020

RESUMEN

We trained and validated risk prediction models for the three major types of skin cancer- basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma-on a cross-sectional and longitudinal dataset of 210,000 consented research participants who responded to an online survey covering personal and family history of skin cancer, skin susceptibility, and UV exposure. We developed a primary disease risk score (DRS) that combined all 32 identified genetic and non-genetic risk factors. Top percentile DRS was associated with an up to 13-fold increase (odds ratio per standard deviation increase >2.5) in the risk of developing skin cancer relative to the middle DRS percentile. To derive lifetime risk trajectories for the three skin cancers, we developed a second and age independent disease score, called DRSA. Using incident cases, we demonstrated that DRSA could be used in early detection programs for identifying high risk asymptotic individuals, and predicting when they are likely to develop skin cancer. High DRSA scores were not only associated with earlier disease diagnosis (by up to 14 years), but also with more severe and recurrent forms of skin cancer.


Asunto(s)
Carcinoma Basocelular/epidemiología , Carcinoma de Células Escamosas/epidemiología , Melanoma/epidemiología , Modelos Estadísticos , Recurrencia Local de Neoplasia/epidemiología , Neoplasias Cutáneas/epidemiología , Adulto , Anciano , Anciano de 80 o más Años , Carcinoma Basocelular/etiología , Carcinoma Basocelular/patología , Carcinoma de Células Escamosas/etiología , Estudios Transversales , Conjuntos de Datos como Asunto , Pruebas Dirigidas al Consumidor/estadística & datos numéricos , Grupo de Ascendencia Continental Europea/genética , Femenino , Estudios de Seguimiento , Predisposición Genética a la Enfermedad , Estudio de Asociación del Genoma Completo , Humanos , Incidencia , Estudios Longitudinales , Masculino , Anamnesis , Melanoma/etiología , Melanoma/patología , Persona de Mediana Edad , Recurrencia Local de Neoplasia/etiología , Recurrencia Local de Neoplasia/patología , Oportunidad Relativa , Estudios Prospectivos , Medición de Riesgo/métodos , Factores de Riesgo , Piel/patología , Piel/efectos de la radiación , Neoplasias Cutáneas/etiología , Neoplasias Cutáneas/patología , Encuestas y Cuestionarios/estadística & datos numéricos , Rayos Ultravioleta/efectos adversos
19.
Andrologia ; 53(3): e13971, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33438223

RESUMEN

Studies have shown that healthcare professionals struggling with epidemics develop symptoms of post-traumatic stress disorder. The aim of this study is to show how often and severely erectile dysfunction, one of the components of post-traumatic stress disorder, is seen among healthcare professionals during COVID-19 outbreak. The Impact of Event Scale-Revised (IES-R) and the Index of Erectile Function-5 (IIEF-5) were applied to 159 male healthcare professionals working in COVID-19 units and a control group of 200 people. Healthcare professional group was divided into subgroups according to occupation (physician, nurse), age-group (18-25, 26-30, >30), marital status and unit of work (Suspected Patient Area, Diagnosed Patient Area). Both stress disorder and erectile dysfunction were seen at higher rates in healthcare professionals group (p < .001). The median IIEF-5 scores of nurses, married subjects and those working in the Diagnosed Patient Area, were found to be higher (p < .001, p = .014, p = .011 respectively). During the COVID-19 outbreak, healthcare professionals are exposed to psychological trauma and their sexual function may be negatively affected. The measures to be taken are important to estimate which groups are more affected.


Asunto(s)
/terapia , Disfunción Eréctil/epidemiología , Personal de Salud/psicología , Estrés Laboral/complicaciones , Trastornos por Estrés Postraumático/epidemiología , Adolescente , Adulto , /psicología , Disfunción Eréctil/diagnóstico , Disfunción Eréctil/etiología , Disfunción Eréctil/psicología , Personal de Salud/estadística & datos numéricos , Humanos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional , Masculino , Estrés Laboral/psicología , Prevalencia , Factores de Riesgo , Índice de Severidad de la Enfermedad , Trastornos por Estrés Postraumático/diagnóstico , Trastornos por Estrés Postraumático/etiología , Trastornos por Estrés Postraumático/psicología , Encuestas y Cuestionarios/estadística & datos numéricos , Turquia/epidemiología , Carga de Trabajo/psicología , Adulto Joven
20.
Andrologia ; 53(3): e13961, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33491204

RESUMEN

In 2020, the COVID-19 pandemic led to the suspension of the annual Summer Internship at the American Center for Reproductive Medicine (ACRM). To transit it into an online format, an inaugural 6-week 2020 ACRM Online Mentorship Program was developed focusing on five core pillars of andrology research: scientific writing, scientific methodology, plagiarism understanding, soft skills development and mentee basic andrology knowledge. This study aims to determine mentee developmental outcomes based on student surveys and discuss these within the context of the relevant teaching and learning methodology. The mentorship was structured around scientific writing projects established by the team using a student-centred approach, with one-on-one expert mentorship through weekly formative assessments. Furthermore, weekly online meetings were conducted, including expert lectures, formative assessments and social engagement. Data were collected through final assessments and mentee surveys on mentorship outcomes. Results show that mentees (n = 28) reported a significant (p < .0001) improvement in all criteria related to the five core pillars. These results illustrate that the aims of the online mentorship program were achieved through a unique and adaptive online educational model and that our model has demonstrated its effectiveness as an innovative structured educational experience through the COVID-19 crisis.


Asunto(s)
Andrología/educación , Educación a Distancia/organización & administración , Escritura Médica , Modelos Educacionales , /epidemiología , /transmisión , Evaluación Educacional/estadística & datos numéricos , Femenino , Humanos , Masculino , Mentores , Pandemias/prevención & control , Plagio , Estudiantes/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos , Comunicación por Videocoferencia/organización & administración
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