Effect of rowing on mobility, functionality, and quality of life in women with and without breast cancer: a 4-month intervention

Purpose: Of the different modalities of rowing, dragon boat training is the most analyzed in breast cancer (BC). However, other types of boats, such as the felucca, use different biomechanical techniques, which have not been studied in the scientific literature. Consequently, in this study, we sought to determine the benefits of felucca rowing on the physical, psychological, and emotional well-being of patients with BC and healthy persons. Methods: A pre- and post-intervention, single-arm study without a control group with a 4-month intervention was carried out in Spain in 2019. The study sample included six women with BC and 15 healthy women. The following questionnaires were administered before and after the intervention: Disabilities of the Arm, Shoulder, and Hand (DASH), Constant-Murley score (CMS), and the European Quality of Life 5 Dimensions (EQ-5D, rate your health today). Differences were determined before and after the intervention using the paired t test. Results: Significant differences (p < 0.05) were found in the results of all the questionnaires for the women with BC and for the healthy women: DASH (- 13.8 BC and - 6.7 healthy), CMS (+ 12.0 BC and 9.2 healthy), and EQ-5D (+ 8.5 BC and 10.5 healthy). Conclusion: Felucca rowing showed benefits in health and quality of life in both women with BC and healthy women. In future studies with controlled design, values regarding clinical relevance, such as effect sizes/confidence intervals, are needed to corroborate our results

Opinions and perceptions of patients with cardiovascular disease on adherence: a qualitative study of focus groups

Background Cardiovascular diseases are becoming more frequent throughout the world. Adherence to both pharmacological and non-pharmacological treatment, as well as lifestyles, is important for good management and control of the disease. This study aims to explore the opinions and perceptions of patients with ischemic heart disease on the difculties associated with therapeutic adherence. Methods An interpretive phenomenological study was carried out using focus groups and one semi-structured interview. The MAXQDA qualitative data analysis program was used for inductive interpretation of the group discourses and interview. Data were coded, and these were grouped by categories and then consolidated under the main themes identifed. Results Two in-person focus groups and one remote semi-structured interview were performed. Twelve participants (6 men and 6 women) from the Hospital de San Juan de Alicante participated, two of them being family companions. The main themes identifed were aspects related to the individual, heart disease, drug treatment, and the perception of the health care system. Conclusions Adhering to recommendations on healthy behaviors and taking prescribed medications for cardiovascular disease was important for most participants. However, they sometimes found polypharmacy difcult to manage, especially when they did not perceive the symptoms of their disease. Participants related the concept of fear to therapeutic adherence, believing that the latter increased with the former. The relationship with health professionals was described as optimal, but, nevertheless, the coordination of the health care system was seen as limited.This study was funded by the Spanish Ministry of Science and Innovation (MICINN) and Carlos III Health Institute (ISCIII)/European Regional Development Fund (ERDF), (RICAPPS: RD21/0016/0024). The authors acknowledge support from the Health Research Projects—Strategic Action in Health (Reference: PI20/01304) of the SpanishFondo de Investigación Sanitaria—Instituto de Salud Carlos III, co-funded by the European Regional Development Fund/European Social Fund: A way to make Europe/Investing in Your Future

Factors Associated with Colorectal Cancer Screening in Spain: Results of the 2017 National Health Survey

This study aimed to determine the CRC screening coverage of people aged between 50 and 69 years who were living in Spain in 2017 and describe the factors associated with not having had a faecal occult blood test (FOBT). A cross-sectional study was performed using data from the Spanish National Health Survey 2017. We analysed 7568 individuals between the ages of 50 and 69 years. The proportion of respondents between 50 and 69 years old who had had an FOBT was 29.0% (n = 2191). The three autonomous communities with the lowest proportion of respondents who had had an FOBT were Extremadura (8.7%, n = 16), Ceuta&ndash;Melilla (10.4%, n = 3), and Andalucia (14.1%, n = 186). The variables associated with not having had an FOBT were being 50&ndash;54 years old (PR = 1.09; 95% CI 1.04&ndash;1.14), having been born outside of Spain (PR = 1.11; 95% CI 1.06&ndash;1.16), not having been vaccinated against the flu (PR = 1.09; 95% CI 1.04&ndash;1.15), never having had a colonoscopy (PR = 1.49; 95% CI 1.40&ndash;1.59), not having had an ultrasound scan in the last year (PR = 1.09; 95% CI 1.04&ndash;1.14), and not having seen a primary care physician in the last month (PR = 1.08; 95% CI 1.04&ndash;1.12). The factors associated with not getting an FOBT were young age, having been born outside of Spain, not having been vaccinated against the flu in the last campaign, and not making frequent use of healthcare services

Depresión, ansiedad y salud autopercibida en estudiantes de Medicina: un estudio transversal.

The mental health of university students is a reason for international research. The objective of this study was to estimate the prevalence of anxiety, depression and self-perceived health status of medical students from the Miguel Hernandez University and analyze their association with different sociodemographic and lifestyle variables. We did a cross-sectional descriptive study of medical students from 1st to 6th year of the Miguel Hernandez University during the 2019-20 academic year. They were used the Visual Analogue Scale (VAS) of the European Quality of Life-5 Dimensions (EQ-5D), the Goldberg Anxiety and Depression Scale (GADS), the Mediterranean Diet Prevention study (PREDIMED), the Alcohol Use Disorders Identification Test (AUDIT-C) and the Fagerström Test were used. All the questionnaires are validated in Spain. For the analysis, multivariate logistic models were adjusted. They were surveyed 474 students. The overall response rate was 55.26%. 68.1% of the sample were women. A prevalence of probable anxiety of 54.9%; probable depression of 60.9% and probable anxiety or depression of 73.3% was estimated. Regular-bad-very bad self-perceived health was only 8.9%. A statistically significant association was detected between the aforementioned variables and sex, age, academic year, municipality of residence, type of diet, physical activity and consumption of toxics. The medical students of the Miguel Hernandez University presented a high prevalence of probable anxiety and depression. Differences were observed based on sex, academic year, type of diet and consumption of toxic drugs.La salud mental de estudiantes universitarios es un motivo de investigación a nivel internacional. El objetivo de este estudio fue estimar la prevalencia de ansiedad, depresión y estado de salud autopercibida de los estudiantes de medicina de la Universidad Miguel Hernández y analizar su asociación con diferentes variables sociodemográficas y del estilo de vida. Para ello, se realizó un estudio descriptivo transversal de estudiantes de medicina de 1º a 6º curso de la Universidad Miguel Hernández de Elche durante el curso 2019-20.  Se utilizaron la Escala Visual Analógica (EVA) del European Quality of Life-5 Dimensions (EQ-5D), la Escala de Ansiedad y Depresión de Goldberg (EADG), el estudio Prevención con Dieta Mediterránea (PREDIMED), el Alcohol Use Disorders Identification Test (AUDIT-C) y el Test de Fagerström. Todos los cuestionarios están validados en España. Para el análisis se ajustaron modelos logísticos multivariantes.  Fueron encuestados 474 estudiantes. La tasa de respuesta global fue del 55.26%. Un 68.1% de la muestra eran mujeres. Se estimó una prevalencia de probable ansiedad del 54.9%, probable depresión del 60.9% y probable ansiedad o depresión del 73.3%. La salud autopercibida regular-mala-muy mala fue del 8.9%. Se detectó una asociación estadísticamente significativa con el sexo, la edad, el curso académico, el municipio de residencia, el tipo de alimentación, la actividad física y el consumo de tóxicos. Como conclusión, los estudiantes de medicina de la Universidad Miguel Hernández presentaron una prevalencia alta de probable ansiedad y depresión. Se observaron diferencias en función del sexo, curso académico, tipo de alimentación y consumo de tóxicos

Validez predictiva del Clinical Risk Groups en pacientes crónicos en el ambito de la atencion primaria

Resumen: Objetivo: Analizar un modelo de predicción de ingreso y urgencias hospitalarias basado en los Clinical Risk Groups (CRG), en la población de pacientes crónicos complejos demandantes de atención primaria. Diseño: Estudio observacional retrospectivo y multicéntrico. Lugar: La población de estudio fue la adscrita a los Centros de Salud de Santa Pola y Raval del Departamento de Salud Elche. Participantes: Cohorte de paciente crónicos con comorbilidad, desde enero a diciembre de 2013. Intervenciones: Los datos sobre el número de ingresos hospitalarios, el motivo de ingreso y el nivel de complejidad asociado al ingreso se recogieron mediante revisión de la historia clínica. Medidas principales: Para determinar el nivel de complejidad se utilizó la clasificación incluida en la estrategia de cronicidad de la Comunidad Valenciana basada en la CRG. Resultados: Se reclutaron 504 pacientes con un grado de complejidad alta (N3) y 272 con complejidad moderada/baja (N1-N2). Se observó mayor comorbilidad de los pacientes agrupados en N3 de alta complejidad (índice de Charlson 2,90 [DE: 1,8] vs. 1,90 [DE: 1,3]; p < 0,001), y mayor grado de dependencia para las actividades básicas diarias (índice de Barthel: 16,1 [n = 81] vs. 7,3 [n = 20]; p < 0,001).La asociación entre el número de ingresos hospitalarios (0,4 [DE: 0,8] vs. 0,1 [DE: 0,5]; p < 0,001) y las visitas a urgencias (0,8 [DE: 1,5] vs. 0,35 [DE: 0,8]; p < 0,001]) fue significativamente mayor en los pacientes del grupo N3 frente a los del grupo N1-N2. Conclusión: La capacidad predictiva del agrupador CRG mostró una alta sensibilidad para la clasificación del paciente con alto grado de complejidad. Su especificidad y valor predictivo positivo fue menor para la asociación del estrato N3 de complejidad. Abstract: Objective: To analyse a prediction model for admissions and hospital emergencies based on Clinical Risk Groups, in a population of complex chronic patients demanding primary care. Design: A multicentric retrospective observational study, of a cohort of chronic patients with comorbidity, from January until December 2013. Place: The study population was assigned to the Santa Pola and Raval health centres from the Health Department of Elche. Participants: Cohort of chronic patients with comorbidity, from January to December 2013. Interventions: Data about the number of admissions, reasons and complexity level associated with the admission were collected by the review of medical records. Main measures: To determine the level of complexity, the classification included in the chronicity strategy of the Valencian Community based on Clinical Risk Groups was used. Results: Five hundred and four patients were recruited with a high complexity degree (N3) and 272 with moderate/low complexity (N1–N2). A higher comorbidity was observed in N3 patients with high complexity [Charlson 2.9 (DE 1.8) vs. 1.9 (DE 1.3); P<.001], and higher dependence degree for basic diary activities [Barthel 16.1 (n = 81) vs. 7.3 (n = 20); P<.001].Association between the number of admissions [0.4 (DE 0.8) vs. 0.1 (DE 0.5); P<.001] and emergency visits [0.8 (DE 1.5) vs. 0.3 (DE 0.8), P<.001] was significatively higher in patients from N3 group than N1-N2 groups. Conclusions: The predictive capacity of CRG grouper showed high sensibility for the patient classification with a high degree of complexity. Its specificity and positive predictive value were lower for the association of the N3 complexity stratum

Depression, anxiety and self-perceived health in medical students: a cross-sectional study

La salud mental de estudiantes universitarios es un motivo de investigación a nivel internacional. El objetivo de este estudio fue estimar la prevalencia de ansiedad, depresión y estado de salud autopercibida de los estudiantes de medicina de la Universidad Miguel Hernández y analizar su asociación con diferentes variables sociodemográficas y del estilo de vida. Para ello, se realizó un estudio descriptivo transversal de estudiantes de medicina de 1º a 6º curso de la Universidad Miguel Hernández de Elche durante el curso 2019-20. Se utilizaron la Escala Visual Analógica (EVA) del European Quality of Life-5 Dimensions (EQ-5D), la Escala de Ansiedad y Depresión de Goldberg (EADG), el estudio Prevención con Dieta Mediterránea (PREDIMED), el Alcohol Use Disorders Identification Test (AUDIT-C) y el Test de Fagerström. Todos los cuestionarios están validados en España. Para el análisis se ajustaron modelos logísticos multivariantes. Fueron encuestados 474 estudiantes. La tasa de respuesta global fue del 55.26%. Un68.1% de la muestra eran mujeres. Se estimó una prevalencia de probable ansiedad del 54.9%,probable depresión del 60.9% y probable ansiedad o depresión del 73.3%. La salud autopercibida regular-mala-muy mala fue del 8.9%. Se detectó una asociación estadísticamente significativa con el sexo, la edad, el curso académico, el municipio de residencia, el tipo de alimentación, la actividad física y el consumo de tóxicos. Como conclusión, los estudiantes de medicina de la Universidad Miguel Hernández presentaron una prevalencia alta de probable ansiedad y depresión. Se observaron diferencias en función del sexo, curso académico, tipo de alimentación y consumo de tóxicos.The mental health of university students is a reason for international research. Theobjective of this study was to estimate the prevalence of anxiety, depression and self-perceivedhealth status of medical students from the Miguel Hernandez University and analyze theirassociation with different sociodemographic and lifestyle variables. We did a cross-sectionaldescriptive study of medical students from 1st to 6th year of the Miguel Hernandez Universityduring the 2019-20 academic year. They were used the Visual Analogue Scale(VAS) of theEuropean Quality of Life-5 Dimensions (EQ-5D), the Goldberg Anxiety and Depression Scale(GADS), the Mediterranean Diet Prevention study (PREDIMED), the Alcohol Use DisordersIdentification Test (AUDIT-C) and the Fagerström Test were used. All the questionnaires arevalidated in Spain. For the analysis, multivariate logistic models were adjusted. They were surveyed 474 students. The overall response rate was 55.26%. 68.1% of the sample were women. Aprevalence of probable anxiety of 54.9%; probable depression of 60.9% and probable anxiety ordepression of 73.3% was estimated. Regular-bad-very bad self-perceived health was only 8.9%. Astatistically significant association was detected between the aforementioned variables and sex, age,academic year, municipality of residence, type of diet, physical activity and consumption of toxics.The medical students of the Miguel Hernandez University presented a high prevalence of probableanxiety and depression. Differences were observed based on sex, academic year, type of diet andconsumption of toxic drugs