Understanding Prognostic Factors for Human Papillomavirus Vaccination: A Rural Community Case–Control Study

HPV vaccination coverage rates can vary depending on several factors. The main objective of this study is to identify possible independent prognostic factors that have an impact on HPV vaccination in a rural community, specifically related to sexual and reproductive health. A case-control, retrospective, community-based study was carried out on women aged 15 to 40 in the primary health centers of Southern Catalonia's Terres de l'Ebre region, Spain, from 1 January 2020 to 31 December 2022. A random sample of 520 women with an average age of 29.3 (SD 7.8) years old was included in the study. Independent prognostic factors: age OR 0.680 (95% CI: 0.635-0.729, p < 0.001), immigrant origin OR 0.215 (95% CI: 0.109-0.422, p < 0.001), and HPV PCR OR 7.402 (95% CI: 2.504-21.880, p < 0.001). The variables that showed a barrier effect for HPV vaccination were age (OR 0.680, 95% CI 0.635-0.729, p < 0.001), and immigrant origin (OR 0.215, 95% CI 0.109-0.422, p < 0.001). The variable that showed a facilitating effect for HPV vaccination was HPV PCR (OR 7.402, 95% CI 2.504-21.880, p < 0.001)

Noves contribucions al coneixement de la flora vascular del massís del Port (NE de la península Ibèrica)

En aquest article s'aporten dades per a un total de 61 tàxons. Epipactis cardina Benito & C.E. Hermos. suposa una novetat per a la flora de Catalunya, mentre que Bromus secalinus L. representa una novetat per al catàleg florístic de la comunitat valenciana. Cotoneaster integerrimus Medik., Epipactis rhodanensis Gévaudan & Robatsch, Geum rivale L., Milium effusum L. i Sideritis hyssopifolia L. suposen novetats per a les comarques meridionals de Catalunya.Data about 61 taxa are presented. Epipactis cardina Benito & C.E. Hermos. is a new record for the Catalan flora and Bromus secalinus L. is reported for first time from Valencian community. Cotoneaster integerrimus Medik., Epipactis rhodanensis Gévaudan & Robatsch, Geum rivale L., Milium effusum L. and Sideritis hyssopifolia L. are new records for Southern Catalonia

HPV Vaccination Coverage Rate in a Rural Area: An Observational, Retrospective, and Cohort Study

In order to reduce the incidence and mortality rate of cervical cancer, the World Health Organization (WHO) declared the Global Strategy Goal for 2030, advocating for reaching a vaccination coverage rate of &gt;90% against human papillomavirus for girls by the age of 15 years. The main objectives of this study were (1) to determine the papillomavirus vaccination coverage among women 15&ndash;40 years old and (2) to identify the at-risk subgroups and possible barriers to achieving WHO&rsquo;s 2030 goal. Multicentre, observational, retrospective, and community-based cohort studies were conducted on women from a rural area in southern Catalonia until 31 December 2021. A total of 23,136 women were included, with a mean age of 26.6 (SD = 5.6) years. The average dose number was 1.7 (SD = 0.7). The results showed overall vaccination coverage of 17.4% among the target women. This coverage was unequal across regions (16.6&ndash;24.5%, p &lt; 0.001), primary healthcare teams (15.5&ndash;24.3%, p &lt; 0.001), and age groups (56.7% (15&ndash;19-year-olds) vs. 3.8% (35&ndash;40-year-olds), p &lt; 0.001), related to accessibility to vaccination and economic&ndash;geographical indicators. Clinical practice guidelines on screening individuals at risk in terms of vaccination access and public vaccination protocols should be implemented in order to improve the vaccination coverage rate

El circuito asistencial de la fibrilación auricular en pacientes ambulatorios: estudio observacional Audit fibrilación auricular en el Baix Ebre

Objetivo: Conocer el circuito asistencial de la fibrilación auricular (FA): diagnóstico, tratamiento y seguimiento en el contexto asistencial del sistema sanitario público. Diseño: AFABE es un estudio observacional, multicéntrico y descriptivo, con datos retrospectivos relacionados con el diagnóstico, tratamiento y seguimiento de una cohorte de pacientes ambulatorios con FA en el contexto de la atención primaria, servicios de urgencias y cardiología referentes. Emplazamiento: Atención primaria y especializada. Comarca del Baix Ebre. Tarragona. España. Participantes: Muestra representativa de pacientes con FA > 60 años, seleccionados aleatoriamente entre los pacientes registrados en los 22 centros de atención primaria existentes en el territorio del estudio. Mediciones principales: Datos demográficos, comorbilidades, valor CHA2DS2-VASc y HAS_BLED, y patrones asistenciales resultantes entre la atención primaria y servicios referentes. Resultados: Se incluyeron 182 pacientes, de 78,5; DE:7,3 años, y el 50% mujeres. En atención primaria (AP) se realizó el primer contacto en el 68,3% (IC 95% 60,3-76,3) de los casos de FA, de los que un 56,3% (IC 95% 45,2-66,0) fueron enviados al servicio de urgencias del hospital referente. El 72,7% (IC 95% 63,5-79,0) de los tratamientos anticoagulantes orales y el 58,44% (IC 95% 49,4-66,9) de los tratamientos antiarrítmicos se iniciaron en el servicio de urgencias referente. Un 55,9% (IC 95% 47,2-64,7) de los pacientes son seguidos por el servicio de cardiología referente. Conclusiones: El médico de AP realiza el primer contacto de la mayoría de FA y deriva el 55% de los casos al servicio de urgencias hospitalario donde se inician la mayoría de tratamientos específicos de la FA

Results from the Registry of Atrial Fibrillation (AFABE): Gap between Undiagnosed and Registered Atrial Fibrillation in Adults—Ineffectiveness of Oral Anticoagulation Treatment with VKA

Objective. This study aimed to examine the effectiveness of the use of oral anticoagulation (OAC) medication, recommended by national guidelines for stroke prevention but reportedly underused in AF patients with moderate to high stroke risk. Method. A multicentre and cross-sectional study of undiagnosed AF among out-of-hospital patients over 60 years old was carried out, visiting 3,638 patients at primary health centres or at home for AF diagnosis using the IDC-10 classification. The main outcome measures were CHA2DS2VASC, HAS-BLED scores, cardiovascular comorbidity, pharmacological information, TTR, and SAMe-TT2R2 scores. Results. The main findings were undiagnosed AF in 26.44% of cases; 31.04% registered with AF but not using OAC despite 95.6% having a CHA2DS2VASC≥2 score; a risk of bleeding in important subgroups using OAC without indication (37.50% CHA2DS2VASC<2 score); the use of OAC with TTR < 60% (33.1%), of whom 47.6% had a HAS-BLED score ≥3. Thus, 35.4% of the expected AF prevalence achieved an optimal time in the therapeutic range. Conclusions. The expected AF prevalence was 10.9% (n 5267), but the registered prevalence was 7.5% (n 3638). Only 35.04% (CI = 95%, 33.7–36.3) of AF patients treated with vitamin K antagonists (VKAs) achieve the goal of TTR > 60%

Noves contribucions al coneixement de la flora vascular del massís del Port (NE de la península Ibèrica)

En aquest article s'aporten dades per a un total de 61 tàxons. Epipactis cardina Benito & C.E. Hermos. suposa una novetat per a la flora de Catalunya, mentre que Bromus secalinus L. representa una novetat per al catàleg florístic de la comunitat valenciana. Cotoneaster integerrimus Medik., Epipactis rhodanensis Gévaudan & Robatsch, Geum rivale L., Milium effusum L. i Sideritis hyssopifolia L. suposen novetats per a les comarques meridionals de Catalunya.Data about 61 taxa are presented. Epipactis cardina Benito & C.E. Hermos. is a new record for the Catalan flora and Bromus secalinus L. is reported for first time from Valencian community. Cotoneaster integerrimus Medik., Epipactis rhodanensis Gévaudan & Robatsch, Geum rivale L., Milium effusum L. and Sideritis hyssopifolia L. are new records for Southern Catalonia