Objective: The aim of this study was to elucidate the impact of pleural lavage cytology positivity on early recurrence in patients operated on non-small cell lung cancer (NSCLC).
Methods: This is a multicentre prospective cohort study of 684 patients undergoing an anatomical lung resection for NSCLC between October 2015 and October 2017 at 12 national centres. A pleural lavage was performed before and after lung resection.
Tools for radiation exposure reconstruction are required to support the medical management of radiation victims in radiological or nuclear incidents. Different biological and physical dosimetry assays can be used for various exposure scenarios to estimate the dose of ionizing radiation a person has absorbed. Regular validation of the techniques through inter-laboratory comparisons (ILC) is essential to guarantee high quality results.
View Article and Find Full Text PDFTranslocation analysis using fluorescence in situ hybridization (FISH) is the method of choice for dose assessment in case of chronic or past exposures to ionizing radiation. Although it is a widespread technique, unlike dicentrics, the number of FISH-based inter-laboratory comparisons is small. For this reason, although the current Running the European Network of Biological and Physical retrospective Dosimetry (RENEB) inter-laboratory comparison 2021 was designed as a fast response to a real emergency scenario, it was considered a good opportunity to perform an inter-laboratory comparison using the FISH technique to gain further experience.
View Article and Find Full Text PDFObjective: To understand the consequences of the COVID-19 pandemic lockdown on the self-care of people living with chronic diseases and on their self-perceived health, and to identify factors that may influence the management of their disease in emergency situations.
Method: A qualitative study conducted in 2020 (March and April) in Andalusia (Spain) during the COVID-19 pandemic lockdown, through virtual focus groups, using the Zoom telematics tool. Three virtual focus groups were conducted, including 34 patients from Andalusia with different chronic conditions such as arthritis, diabetes, cardiovascular disease, inflammatory bowel disease, breast cancer and fibromyalgia.
Objective: To measure the impact of the peer-led training for chronic patients on their health status and behaviors.
Design: Descriptive, transversal pretest and posttest quantitative approach.
Placement: Andalusia.
Objective: To evaluate a peer-training intervention for women with breast cancer, from a gender perspective: to discover the results of the intervention and examine in-depth the personal experiences of patients and health professionals participating in the training activity.
Method: Mixed method multicentre design completed in 2017 in Andalusia (Spain), with a pre and post evaluation questionnaire with 102 patients, measuring life style, limitations, use of health services, communication with professionals and self-management; and content analysis of semi-structured interviews and focus groups with 21 patient-trainers and 5 health professionals, looking at experiences, needs and suggestions for improvement.
Results: The patients described a good general health status, with improvements of: diet quality (7 in pre-test to 7.
Background: To evaluate the (inter)relation between chronic patient activation and its relationship with health professionals in Andalusia.
Methods: Descriptive and quantitative study involving 258 chronic patients from the School of Patients, contacted by email. One hundred and forty-two answered the Patient Activation Measurement (PAM) and the chronic patient's experience (IEXPAC) questionnaires.
Objective: To evaluate a peer training strategy for patients with type2 diabetes mellitus, developed in two training programmes in the Basque Country and Andalusia.
Design: Quantitative pre- and post-intervention and qualitative evaluation, developed between 2012 and 2014.
Place: The Basque Country and Andalusia.
Background: Access to up-to-date and understandable health information is a growing citizen demand, as well as an ethical duty and a legal regulation. Written information reinforces information transmitted orally during the consultation and improves recall capacity. Adenoamigdalectomy is an intervention that affects a high number of patients, the majority from the child population that has a high emotional sensitivity, and it is experienced by parents with considerable anxiety.
View Article and Find Full Text PDFObjective: To find out the opinions of health professionals on adolescent alcohol drinking and their evaluation of the existing legal regulation measures.
Design: Qualitative and exploratory study, based on semi-structured interviews.
Setting: Four cities representing four different regions in Spain: Palma de Mallorca, Granada, Barcelona and Pamplona.
Objective: To identify the attributes used by chronically-ill patients to describe physicians' competence in the public healthcare system in Andalucia.
Methods: A total of 147 chronically-ill patients and their relatives were included in this qualitative study. Focal groups and in-depth interviews were performed in health centers and outpatient centers in Granada, Malaga, Seville, Cadiz and Cordoba between 2007 and 2008.
Objectives: To evaluate a telephone-information service on health issues for children before its implementation. To determine the overall assessment of the service and quality of the information available from the perspective of a potential user population.
Design: Simulation of a telephone call to the telephone service and further evaluation using qualitative techniques.
Objective: The emotional climate in the health care environment is one of the main factors that affect professional duties and quality of care. The aim of this research is to analyse the emotional climate in health work teams, relating it with the number of members in each group.
Method: A cross-sectional, descriptive, and observational study with 212 professionals from 17 health centres.
A study was undertaken for the purpose of describing internal communication and the professional-patient relationship and to establish a descriptive model of the interaction between these 2 variables. A nationwide survey was carried out in primary care and specialist care centers in Spain. A simple random sampling method was used with 1183 health care professionals.
View Article and Find Full Text PDFObjective: To know the experiences and expectations of persons with fibromyalgia towards the health system and its professionals.
Methods: Qualitative study with three focal groups. The first focal group included patients with fibromyalgia, 20 women and 1 man, receiving care in the public health system, with different assistance paths and progression.
Objectives: To determine the opinions of urban parents on alcohol drinking in teenagers and their positioning regarding the legal restrictive measures.
Material And Methods: We performed a qualitative study of six focal groups including 42 mothers and fathers of adolescents from six different Spanish regions and from diverse social strata. The quantitative part of the study consisted of a 1-10 scale questionnaire, measuring parents' acceptance and opinion about legal measures restricting underage drinking.
Objective: To evaluate the influence of tobacco advertising on consumer habits.
Design: Systematic review.
Data Sources: PubMed, Ovid, Scielo, Mediclatina, Elsevier-Doyma, Isooc (CSIC) (January 2000-September 2008)
Methods: A total of 44 national and international articles, linking the consumption of tobacco with any promotional or advertising practice.
Objective: To report on patient and professional opinions and expectations concerning the information included in drug package leaflets and to determine their readability.
Design: Qualitative and quantitative study. PLACEMENT: Primary Care and Specialized Centres from Andalusia, Catalonia, Basque Country, Navarra, Aragon and Extremadura.
Background And Objective: Patient Safety is an issue of growing interest in healthcare politics and specialized bibliography, but there are limited studies that include the perspective of the public on healthcare safety.
Material And Method: Qualitative research performed in 4 Spanish Autonomous Regions, using focus groups and semi-structured interviews with patients and representatives of associations. Discourse analysis and result triangulation.
Objective: To evaluate the dynamics and establish the emotional map of 8 primary care teams.
Design: Descriptive, cross-sectional and multi-site study.
Setting: Primary care centers in Granada, Cádiz and Málaga, Spain.
Background: The manufacturers of medicinal products are responsible for providing consumers proper information on the use of such products. This information is set out in the package leaflets which, according to current legislation, must be easy for patients to read and understand. The purpose of this study is to analyse the linguistic/grammatical readability of the package leaflets of medicinal products through application of the Flesch formula.
View Article and Find Full Text PDFAim: To understand the expectations held by type 1 and 2 diabetes mellitus (DM 1 & 2) patients and their relatives regarding the health-care provided to them.
Design: qualitative. Focus groups.