Psychotropic consumption before and during COVID-19 in Asturias, Spain.

Background: Spain as multiple other countries has been experiencing an increasing and sustained trend in the use of psychotropic medications since the mid 90s. Recent studies show public health measures implemented to control SARS-Cov2, such as mobility restrictions and the shutdown of nonessential activities increased mental suffering, even contributing to a higher number of anxiety, depression and insomnia disorders that could lead to an increase in the consumption of psychotropics. The aims were: 1) Evaluate the temporal trend in psychotropic consumption by pharmacological subgroup, sex, and age group 2) Estimate the effect of the COVID-19 pandemic in the use of psychotropic drugs.

Use of antibiotics in Paediatric Primary Health Care before and during the COVID-19 pandemic.

Introduction: Consumption of antibiotics is high in Spain, primarily in children. Excessive use of then contributes to the development of antimicrobial resistance. The aim of our study is to analyse the evolution of antibiotic consumption at the Primary Health Care in the paediatric population of Asturias, Spain, from 2014 to 2021, and to evaluate the impact of COVID-19 pandemic on it.

[Impact of COVID-19 lockdown on the prescription of benzodiazepines].

Objective: To evaluate the effect of COVID-19 lockdown on the prescription of benzodiazepines by gender, age and district health departments.

Design: Longitudinal observational study.

Location: Primary care.

[Use of antibiotics in Paediatric Primary Health Care before and during the COVID-19 pandemic].

Introduction Consumption of antibiotics is high in Spain, primarily in children. Excessive use of then contributes to the development of antimicrobial resistance. The aim of our study is to analyse the evolution of antibiotic consumption at the Primary Health Care in the paediatric population of Asturias, Spain, from 2014 to 2021, and to evaluate the impact of COVID-19 pandemic on it.

[Antibiotic consumption in primary care in the adult population of Asturias during 2014-2020 period].

Trend study of the consumption of systemic antibiotics in the adult population in of Primary Care of the Health Service of the Principality of Asturias (SESPA) during the period 2014̶2020. Retrospective observational study. SESPA, Primary Care.

[Health literacy and educational necessities perceived by adolescents in an area of Asturias, a cross-sectional study.].

Objective: In view of the unfavourable results of the HLS-EU Project in Spain and given that there are hardly any studies about health literacy (HL) in adolescents, it was proposed as main objective to determine the degree of HL of adolescents after Obligatory Secondary Education (OSE) and the educational necessities which they perceive in Health Education (HE).

Methods: Observational descriptive cross-sectional study with students in their first year of Upper Secondary Education for the academic year 2018/2019 from Healthcare Area V (Asturias). It was an equi-probabilistic one-stage cluster sampling, selecting 12 classrooms with 323 students.

Transvaginal Ultrasound-Guided Fine-Needle Aspiration of Adnexal Cysts With a Low Risk of Malignancy: Our Experience and Recommendations.

Objectives: The purpose of this study was to assess the effectiveness of ultrasound (US)-guided aspiration for the management of low-risk adnexal cysts.

Methods: A longitudinal cohort of women with a low-risk adnexal cyst who underwent transvaginal US-guided aspiration from January 2012 to April 2018 were included. All procedures were performed on an outpatient basis, without anesthesia, sedation, or antibiotics.

[Cumulative incidence, comorbility and disability for anxiety disorders in patients of a mutual worker accident.].

Objective: Neurotic disorders are one of the main health problems of Western societies. Its impact on labor productivity grows exponentially with an increase in its incidence and the duration of temporary disability (TD) processes. To know the characteristics of the patients belonging to a mutual of work accidents who had transient disability due to neurotic disorders, their temporal and geographic distribution, their comorbidities and those variables that affected their duration.

[Factors associated with the anxiety level and knowledge about childcare and lactation in first-time pregnant women].

Objective: To know the level of anxiety and knowledge of childcare and lactation of the current pregnant women, and the clinical-demographic variables with which they are related.

Design: Cross-sectional study.

Setting: Seven health centers of Area V (Asturias).

Diminished emotional expression in schizophrenia: an interdisciplinary approach based on behavioral interventions.

Background: Negative symptoms represent the main cause of disability in schizophrenia, having recently been grouped into two general dimensions: avolition and diminished emotional expression, which includes affective flattening and alogia. The aim of this study was to explore the response of these two symptoms to a set of behavioral interventions based on contingency management, performed in an interdisciplinary context.

Method: Behaviors of interest were monitored and evaluations before and after the treatment were performed on 9 schizophrenic inpatients with persistent negative symptoms.

[Validity of the abdominal ecography in primary care for detection of aorta abdominal aneurism in male between 65 and 75 years].

Objective: To determine the usefulness of ultrasound examination in Primary Care (PC) for the detection of abdominal aortic aneurysm (AAA) in male patients from 65-75 years old, as well as the consistency between observers on the diagnosis between general practitioners and the reference specialty in this area, Vascular Surgery. To estimate the prevalence of AAA in that population and its association with risk factors.

Design: Cross-sectional descriptive study.

[Effect of the economic crisis on consumption of psychotropic drugs in Asturias (Spain)].

Objective: To assess whether the economic crisis of 2008 has changed the consumption of anxiolytics, hypnotics-sedatives and antidepressants in Asturias (Spain).

Method: We conducted a descriptive study of drug use from 2003 -2013. The defined daily doses of 1000 inhabitants per day (DHD) were calculated for anxiolytics, hypnotics-sedatives and antidepressants.

Intraoperative laparoscopic complications for urological cancer procedures.

Aim: To structure the rate of intraoperative complications that requires an intraoperative or perioperative resolution.

Methods: We perform a literature review of Medline database. The research was focused on intraoperative laparoscopic procedures inside the field of urological oncology.

Drug assessment by a Pharmacy and Therapeutics committee: from drug selection criteria to use in clinical practice.

Background: In Spain, hospital medicines are assessed and selected by local Pharmacy and Therapeutics committees (PTCs). Of all the drugs assessed, cancer drugs are particularly important because of their budgetary impact and the sometimes arguable added value with respect to existing alternatives. This study analyzed the PTC drug selection process and the main objective was to evaluate the degree of compliance of prescriptions for oncology drugs with their criteria for use.

[Effectiveness of short educational intervention in patients with insomnia in primary care].

Objetive: To evaluate the effectiveness of providing an educational intervention in primary care (PC) alongside a pharmacological treatment for insomnia.

Design: Single blinded non randomised clinical trial.

Location: Two urban primary health centers in Gijón (Asturias, Spain).

The null hypothesis significance test in health sciences research (1995-2006): statistical analysis and interpretation.

Background: The null hypothesis significance test (NHST) is the most frequently used statistical method, although its inferential validity has been widely criticized since its introduction. In 1988, the International Committee of Medical Journal Editors (ICMJE) warned against sole reliance on NHST to substantiate study conclusions and suggested supplementary use of confidence intervals (CI). Our objective was to evaluate the extent and quality in the use of NHST and CI, both in English and Spanish language biomedical publications between 1995 and 2006, taking into account the International Committee of Medical Journal Editors recommendations, with particular focus on the accuracy of the interpretation of statistical significance and the validity of conclusions.

[Internet use by teenagers from Gijón (Asturias) as a source of health information].

Objectives: To evaluate the use of Internet as a source of health information by adolescents, its reliability and the acceptability of an email service for their questions.

Design: Cross-sectional study.

Setting: Secondary schools.