{"title":"Effectiveness of high-risk human papillomavirus genotyping for cervical cancer screening. A multicentre screening cohort study in rural China.","authors":"Yan-Qin Yu, Ming-Yue Jiang, Xun Zhang, Qin-Jing Pan, Le Dang, Rui-Mei Feng, Nasra Mohamoud Ali, Wen Chen, You-Lin Qiao","doi":"10.23938/ASSN.1065","DOIUrl":"10.23938/ASSN.1065","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess the effectiveness of high-risk human papillomavirus (HR-HPV) primary testing for cervical cancer screening in China's rural areas.</p><p><strong>Methods: </strong>Women aged 21-64 years were recruited. Cervical cytology was diagnosed following the Bethesda 2001 classification system, HPV infection (HR-HPV, HPV-16, HPV-18, and other 12 genotypes) identified by Cobas-4800, and colposcopy and biopsy performed when required. Primary outcomes were defined as the cumulative incidence of cervical intraepithelial neoplasia grade 2/3/higher (CIN2/3+) and its relative risk at baseline and at the 36-month follow-up.</p><p><strong>Results: </strong>The study included 9,218 women; mean age was 45.15 years (SD: 8.74); 81% completed the follow-up. The most frequent type of cytological lesions (12.4% ) were ASCUS (8.4%) and LSIL (2.2%). HR-HPV infection (16.3%) was more prevalent in HPV-16 than in HPV-18 (3 vs 1.5%); a positive relationship with the severity of the lesions, from 29.8% in ASCUS to 89.6% in HSIL was found. At baseline, 3.5% of the patients underwent colposcopy; 20% had a positive diagnosis. At the 36-month follow-up, the cumulative incidences of CIN2+ and CIN3+ were higher in women with HR-HPV infection (16.9 vs 0.5% and 8.2 vs 0.2%). The relative risk of CIN2/3+ was lower in HR-HPV-negative women compared to those with a negative cytology at baseline (0.4; 95%CI: 0.3-0.4).</p><p><strong>Conclusions: </strong>High-risk HPV-based screening may significantly reduce the risk of CIN2/3+ compared with cytology testing. This may be a new resource for public health demands in China's rural areas.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11167506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vitorino Modesto Dos Santos, Lister Arruda Modesto Dos Santos
{"title":"Catamenial pneumothorax: a rare condition.","authors":"Vitorino Modesto Dos Santos, Lister Arruda Modesto Dos Santos","doi":"10.23938/ASSN.1076","DOIUrl":"10.23938/ASSN.1076","url":null,"abstract":"","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11167504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A new midline closure technique without skin sutures: Long-term outcomes of primary repair of pilonidal sinus disease","authors":"Hüseyin Tas, Furkan Karahan","doi":"10.23938/assn.1073","DOIUrl":"https://doi.org/10.23938/assn.1073","url":null,"abstract":"","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"26 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noelia Lozano-Muñoz, Á. Borrallo-Riego, M. Guerra-Martín
{"title":"[Effectiveness of interventions to help mitigate the influence of social networks on anorexia and bulimia nervosa: a systematic review].","authors":"Noelia Lozano-Muñoz, Á. Borrallo-Riego, M. Guerra-Martín","doi":"10.23938/ASSN.1074","DOIUrl":"https://doi.org/10.23938/ASSN.1074","url":null,"abstract":"BACKGROUND\u0000The study aim to analyze the impact of interventions to help mitigate the influence of social networks on anorexia and bulimia nervosa.\u0000\u0000\u0000METHODOLOGY\u0000A systematic review was conducted using PubMed, Scopus, PsycINFO and Web of Science. The inclusion criteria were: randomized clinical trials, published between 2013 and 2023 with a score = 5 points on the Van Tulder methodological quality scale.\u0000\u0000\u0000RESULTS\u0000Eight studies were selected, most carried out in secondary education centers or universities; one was online. The study sample consisted of 5,084 participants mainly young women and adolescents with an average age between 12 and 32 years. As for the social networks, some studies described their impact at a general level, while others focused on Instagram, Facebook, Tik-Tok, Twitter, and Snapchat. A positive correlation was found between the exposure to unrealistic beauty ideals found in social networks with greater concern and dissatisfaction with body image. All studies used instruments to assess the effectiveness of the interventions. The interventions helped reduce the influence of the media and social networks, improve self-perception and self-esteem assessments, reduce anxiety levels and internalization of the thin beauty ideal, reduce dietary restrictions, and make use of social networks differently.\u0000\u0000\u0000CONCLUSIONS\u0000Longer-lasting interventions can improve body satisfaction (one year) and depressive symptoms (six months), especially in women. Interventions should include attention to self-criticism, self-perception, self-esteem, body image, nutritional management, and media literacy skills.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"114 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140695148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ines Munuera, J. Sánchez-Monroy, M. Puzo, Antonio Mateo, Silvia Mendez-Martinez
{"title":"Primary stromal cyst of the iris: case report","authors":"Ines Munuera, J. Sánchez-Monroy, M. Puzo, Antonio Mateo, Silvia Mendez-Martinez","doi":"10.23938/assn.1072","DOIUrl":"https://doi.org/10.23938/assn.1072","url":null,"abstract":"","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140695753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Saracíbar-Razquin, A. Zaragoza-Salcedo, J. Martín-Martín, J. L. Cobo-Sánchez, Santiago Pérez-García, Aurora Simón-Ricart, P. Ara-Lucea, L. Jimeno-San Martín, Montserrat Ducay-Eguillor, N. De La Torre-Lomas, Jesica Pérez-Herreros, M. Olano-Lizarraga
{"title":"Development of a scale to gain insight into the experience of living with chronic heart failure: The UNAV-Experience of Living with Chronic Heart Failure Scale.","authors":"M. Saracíbar-Razquin, A. Zaragoza-Salcedo, J. Martín-Martín, J. L. Cobo-Sánchez, Santiago Pérez-García, Aurora Simón-Ricart, P. Ara-Lucea, L. Jimeno-San Martín, Montserrat Ducay-Eguillor, N. De La Torre-Lomas, Jesica Pérez-Herreros, M. Olano-Lizarraga","doi":"10.23938/ASSN.1071","DOIUrl":"https://doi.org/10.23938/ASSN.1071","url":null,"abstract":"BACKGROUND\u0000To date, there are no tools for the nursing staff to gain systematic insight on the experience lived by patients with chronic heart failure. The objective of this study was to develop a scale for this purpose.\u0000\u0000\u0000METHODS\u0000The study was conducted between January 2018 and December 2020 in three Spanish hospitals. The process described by DeVellis was used for the development of the scale. The items were built based on a phenomenological study and a systematic review of the literature. Next, feedback from a panel of experts was obtained, the scale was administered to a sample of patients with chronic heart failure, and a cognitive interview and an observational study were conducted to create the final version of the scale.\u0000\u0000\u0000RESULTS\u0000The first version of the scale had in seven domains and 76 items. After its evaluation by a panel of experts, it was reduced to a second version with six domains and 55 items. Following the administration of Version 2 to 17 patients (58.8% male, mean age 59.53, 70.6% classified as NYHA functional class II), five items were modified and two eliminated. Thus, the third version of the UNAV-CHF Experience Scale was composed of six domains and 53 items.\u0000\u0000\u0000CONCLUSIONS\u0000This study presents the development of the UNAV-experience of living with chronic heart failure scale. It is an original and novel instrument that allows systematically explore this experience. A larger-scale study is necessary to confirm the validity of our scale.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"19 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140697323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Social media, adolescence and eating disorders: the need for a comprehensive perspective].","authors":"C. Sádaba","doi":"10.23938/ASSN.1075","DOIUrl":"https://doi.org/10.23938/ASSN.1075","url":null,"abstract":"","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"30 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vanessa Bullón-Vela, Diana Toledo, Noelia Vera-Punzano, Pere Godoy, Manuel García Cenoz, Jéssica Pardos-Plaza, Jesús Castilla, Angela Domínguez, Iván Martínez-Baz
{"title":"[Level of knowledge, attitudes and the use of preventive measures among household contacts of COVID-19 cases after the acute phase of the pandemic].","authors":"Vanessa Bullón-Vela, Diana Toledo, Noelia Vera-Punzano, Pere Godoy, Manuel García Cenoz, Jéssica Pardos-Plaza, Jesús Castilla, Angela Domínguez, Iván Martínez-Baz","doi":"10.23938/ASSN.1070","DOIUrl":"10.23938/ASSN.1070","url":null,"abstract":"<p><strong>Background: </strong>Assessment of the level of knowledge and attitudes regarding COVID-19 and preventive measures in household contacts of COVID-19 cases after the acute phase of the pandemic.</p><p><strong>Methods: </strong>Survey among household contacts of COVID-19 cases conducted in healthcare centers in Navarre (1) and Catalonia (8) between May 2022 and July 2023. The frequency of use of preventive measures and the knowledge and attitudes towards COVID-19 were assessed through 12 items.</p><p><strong>Results: </strong>215 contacts participated who correctly used the preventive measures (>85%), except for facemasks (35.8%) and interpersonal distance (47%); >85% showed adequate knowledge (5/6 items) and >80% had a positive attitude (3/6 items). Moreover, 54.7% considered that COVID-19 negatively affected their life and 54.1% that it is better to develop immunity by getting infected than by vaccination.</p><p><strong>Conclusions: </strong>Household contacts show a correct level of knowledge and positive attitude towards the disease and its preventive measures.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11016338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Mateos-González, Julio Rodríguez-Suárez, Jose Antonio Llosa, Esteban Agulló-Tomás
{"title":"[Spanish version of the Nordic Musculoskeletal Questionnaire: cross-cultural adaptation and validation in nursing aides].","authors":"Laura Mateos-González, Julio Rodríguez-Suárez, Jose Antonio Llosa, Esteban Agulló-Tomás","doi":"10.23938/ASSN.1066","DOIUrl":"10.23938/ASSN.1066","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to translate, culturally adapt, and validate a Spanish version of the Nordic Musculoskeletal Questionnaire for a sample of nursing assistant aides.</p><p><strong>Methods: </strong>The questionnaire was translated and culturally adapted. Next, it was included in a battery of tests that was completed by 526 nursing assistants working in residential care homes in the Principality of Asturias (Spain). To assess its validity, the Exploratory Factor Analysis and the Confirmatory Factor Analysis were used. The internal consistency was estimated with McDonald's Omega coefficient (?), complemented by the test-retest reliability analysis through the intraclass correlation coefficient. The validity of the criteria was established by the correlation between total score on the test and quality of life measures, job insecurity and psychological demand, and social support at work.</p><p><strong>Results: </strong>The Exploratory Factor Analysis and Confirmatory Factor Analysis adjustment indices confirmed it is a unidimensional test. The internal consistency values indicated very high reliability (? = 0.81). Similarly, the intraclass correlation coefficient showed statistically significant values and an excellent correlation coefficient (r = 0.95). The validity of the criteria showed a statistically significant correlation with all the constructs studied, particularly with quality of life.</p><p><strong>Conclusions: </strong>This Spanish version of the Nordic Musculoskeletal Questionnaire has good psychometric qualities for a population of nursing aides and therefore may be a valid and reliable tool for assessing musculoskeletal disorders.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11016339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francisco de Borja Merino Moya, Silvia Lucena Garcia, Juan Manuel García Torrecillas
{"title":"[Relationship between thyroid function changes with work-/night-shifts and history of thyroid pathology among health personnel].","authors":"Francisco de Borja Merino Moya, Silvia Lucena Garcia, Juan Manuel García Torrecillas","doi":"10.23938/ASSN.1057","DOIUrl":"10.23938/ASSN.1057","url":null,"abstract":"<p><strong>Background: </strong>The study aim was to analyze the relationship between functional thyroid pathology and the exposure to work shifts / night shifts, and describe the most prevalent thyroid disorders based on the type of shift.</p><p><strong>Methodology: </strong>Cross-sectional study performed in the emergency department of a hospital in Almeria (Spain). Relationships between thyroxine and thyrotropin levels (TSH) and work shifts, professional category and history of thyroid pathology were analyzed.</p><p><strong>Results: </strong>The study included 133 workers; 80.5% female, average age was 46.11 years (38 - 65), and 52% were part of the nursing staff; thyroid disorders were more frequent in female participants. Most participants (81.2%) had rotating shifts schedules and 11.3% night shifts (12.1% female and 7.7% male). Thyroid alterations were found in 27% of the participants (usually elevated TSH levels and normal thyroxine levels), particularly in those doing night shifts (61.1%). TSH alterations were more frequent in individuals doing night shifts than in rotating shifts (53.3 vs 13.0%; p<0.001). Individuals working night shifts had mean TSH values in the normal range, although significantly higher than the individuals in the rest of the shifts; thyroxine levels were found to be similar. No thyroid disorders were found in day shift participants. Night shift and a history of thyroid pathology were independent predictors of thyroid disorders.</p><p><strong>Conclusions: </strong>Night shift schedules and history of thyroid disorders are more frequent in female, both related to the presence of thyroid disorders, indicating the need to include the evaluation of these disorders in health surveillance programs and analyze gender differences.</p>","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}