scholarly journals Acesso ao exame de mamografia na atenção primária

2017 ◽  
Vol 11 (12) ◽  
pp. 4885
Author(s):  
Lorena Sampaio Almeida ◽  
Jocastra Bispo de Santana ◽  
Silmara Oliveira Silva ◽  
Maria Inês Bezerra de Melo
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Health Services ◽  
Quantitative Study ◽  
Health Services Accessibility ◽  
Treatment Center ◽  
Cáncer De Mama ◽  
Cross Sectional ◽  
Cancer Diagnostic ◽  
Primary Care Patients

RESUMOObjetivo: avaliar o acesso à mamografia de pacientes referenciadas da atenção primária. Método: estudo quantitativo, de corte transversal, realizado no Centro de Diagnóstico e Tratamento do Câncer de Mama IMIP/AVON, com uma amostra de 88 mulheres. Os dados foram analisados a partir de tabelas elaboradas no EpiInfo, versão 3.5.2. Resultados: 93,2% (82) relataram ter realizado este exame anteriormente, o que demonstra amplo conhecimento de sua importância; 51,2% (42) queixaram-se de dor durante o exame, seguidos por 17,1% (14), que referiram nervosismo. Conclusão: Observa-se a necessidade de ampliar a divulgação da importância da mamografia para sua maior adesão. Descritores: Acessibilidade aos Serviços de Saúde; Mamografia; Neoplasias da Mama.ABSTRACTObjective: to evaluate the access to mammography of referenced primary care patients. Method: a cross-sectional, quantitative study performed at the IMIP / AVON Breast Cancer Diagnostic and Treatment Center, involving a sample of 88 women. The data were analyzed from tables elaborated in EpiInfo version 3.5.2. Results: 93.2% (82) reported having performed this examination previously, which demonstrates a wide knowledge of its importance, 51.2% (42) complained of pain during the examination, followed by 17.1% (14) reported nervousness. Conclusion: there is a need to broaden the dissemination of the importance of mammography for its greater adherence. Descriptors: Health Services Accessibility; Mammography; Breast Neoplasms.RESUMENObjetivo: evaluar el acceso a la mamografía de pacientes referenciados de la atención primaria. Método: estudio cuantitativo, de corte transversal, realizado en el Centro de Diagnóstico y Tratamiento del Cáncer de Mama IMIP / AVON, e involucró con una muestra de 88 mujeres. Los datos se analizaron a partir de tablas elaboradas en EpiInfo, versión 3.5.2. Resultados: 93,2% (82) reportaron haber realizado este examen anteriormente, lo que demuestra amplio conocimiento de su importancia, el 51,2% (42) se quejaron de dolor durante el examen, seguidos por el 17,1% (14) que se refirieron nerviosismo. Conclusión: se observa la necesidad de ampliar la divulgación de la importancia de la mamografía para su mayor adhesión. Descriptores: Accesibilidad a los Servicios de Salud; Mamografia; Neoplasias de la Mama.

scholarly journals Evaluation of an educational handbook as a knowledge-acquisition strategy for mastectomized women

2012 ◽  
Vol 20 (4) ◽  
pp. 668-676 ◽  
Author(s):  
Mariza Silva de Oliveira ◽  
Míria Conceição Lavinas Santos ◽  
Paulo César de Almeida ◽  
Marislei Sanches Panobianco ◽  
Ana Fátima Carvalho Fernandes
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Knowledge Acquisition ◽  
Quantitative Study ◽  
Correct Answer ◽  
Question Asking ◽  
Cross Sectional ◽  
Acquisition Strategy ◽  
Analysis Of Knowledge ◽  
Positive Results

This descriptive, cross-sectional and quantitative study presents an analysis of knowledge acquired by mastectomized women concerning breast cancer after reading an educational handbook. The sample was composed of 125 women. Data were collected in a specialized cancer facility in three phases: preparatory, operational I and operational II. As to the knowledge acquired, the posttest showed an 11% increase in the number of correct answers compared to the pretest. The most frequent correct answer regarded a question asking the name of the surgery (97.60%) while the question concerning breast reconstruction obtained the lowest number of correct answers (58.40%). Answers to all the questions significantly improved in the posttest, with the exception of a question addressing breast reconstruction (p=0.754). The assessment of knowledge showed positive results after reading, suggesting that cognition is essential to understanding and adhering to guidance, thus the handbook is a favorable resource to be used in the rehabilitation of mastectomized women.

scholarly journals Cross-sectional associations between inflammation, sickness behaviour, health anxiety and self-rated health in a Swedish primary care population

2019 ◽  
Vol 17 ◽  
pp. 205873921984435 ◽  
Author(s):  
Karin Lodin ◽  
Mats Lekander ◽  
Predrag Petrovic ◽  
Gustav Nilsonne ◽  
Erik Hedman-Lagerlöf ◽  
...  
Keyword(s):  
Primary Care ◽  
Interleukin 6 ◽  
Health Anxiety ◽  
Health State ◽  
Sickness Behaviour ◽  
Cross Sectional ◽  
Primary Care Population ◽  
Self Rated Health ◽  
Primary Care Patients ◽  
Low Levels

This study investigated associations between inflammatory markers, sickness behaviour, health anxiety and self-rated health in 311 consecutive primary care patients. Poor self-rated health was associated with high sickness behaviour ( ρ = 0.28, P < 0.001; ρ = 0.42, P = 0.003) and high health anxiety ( ρ = 0.31, P < 0.001; ρ = –0.32, P = 0.003). High levels of interleukin 6 were associated with poor self-rated health in men ( ρ = 0.26, P = 0.009). Low levels of interleukin-6 were associated with poor self-rated health in women ( ρ = –0.15, P = 0.04), but this association was non-significant when adjusted for health anxiety ( ρ = –0.08, P = 0.31). These results are consistent with the theory that interoceptive processes draw on both inflammatory mediators and the state of sickness behaviour in inferring health state.

scholarly journals Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Maria Salinas ◽  
Maria Leiva-Salinas ◽  
Emilio Flores ◽  
Maite López-Garrigós ◽  
Carlos Leiva-Salinas
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Pilot Study ◽  
Iron Deficiency ◽  
Laboratory Testing ◽  
Laboratory Tests ◽  
Young Female ◽  
Cross Sectional ◽  
Primary Care Patients ◽  
Cross Sectional Studies

Background. The aim was to study the demographic and laboratory pattern of primary care patients with alopecia undergoing laboratory testing, more specifically, the request of hemoglobin and ferritin and values showing anemia and iron deficiency, and to evaluate the effects of an intervention involving automatic ferritin registration and measurement when not requested. Methods. Retrospective and prospective observational cross-sectional studies were conducted, as well as an intervention to automatically register and measure ferritin when not requested by the general practitioner. Results. There were 343 and 1032 primary care laboratory requests prompted by alopecia in the retrospective and prospective studies. Hemoglobin was requested in almost every patient and ferritin in 88%. 5% of the cohort had anemia, and 25% had iron deficiency. The intervention registered and measured that 123 ferritin and 24 iron deficiencies were detected in patients with alopecia, all women, at a cost of 10.6€. Conclusion. Primary care patients with alopecia and laboratory tests request were mainly young female. Our intervention added ferritin when not requested, detecting iron deficiency in 27.9% of women, potentially avoiding the adverse effects of iron deficiency on hair loss.

scholarly journals Risk factors for a positive SARS-CoV-2 PCR in patients with common cold symptoms in a primary care setting – a retrospective analysis based on a joint documentation standard

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Johannes Just ◽  
Marie-Therese Puth ◽  
Felix Regenold ◽  
Klaus Weckbecker ◽  
Markus Bleckwenn
Keyword(s):  
Primary Care ◽  
Common Cold ◽  
Odds Ratio ◽  
Care Setting ◽  
Primary Care Setting ◽  
False Negative ◽  
First Grade ◽  
Cross Sectional ◽  
Policy Makers ◽  
Primary Care Patients

Abstract Background Combating the COVID-19 pandemic is a major challenge for health systems, citizens and policy makers worldwide. Early detection of affected patients within the large and heterogeneous group of patients with common cold symptoms is an important element of this effort, but often hindered by limited testing resources, false-negative test results and the lack of pathognomonic symptoms in COVID-19. Therefore, we aimed to identify anamnestic items with an increased/decreased odds ratio for a positive SARS-CoV-2 PCR (CovPCR) result in a primary care setting. Methods We performed a multi-center cross-sectional cohort study on predictive clinical characteristics for a positive CovPCR over a period of 4 weeks in primary care patients in Germany. Results In total, 374 patients in 14 primary care centers received CovPCR and were included in this analysis. The median age was 44.0 (IQR: 31.0–59.0) and a fraction of 10.7% (n = 40) tested positive for COVID-19. Patients who reported anosmia had a higher odds ratio (OR: 4.54; 95%-CI: 1.51–13.67) for a positive test result while patients with a sore throat had a lower OR (OR: 0.33; 95%-CI: 0.11–0.97). Furthermore, patients who had a first grade contact with an infected persons and showed symptoms themselves also had an increased OR for positive testing (OR: 5.16; 95% CI: 1.72–15.51). This correlation was also present when they themselves were still asymptomatic (OR: 12.55; 95% CI: 3.97–39.67). Conclusions Several anamnestic criteria may be helpful to assess pre-test probability of COVID-19 in patients with common cold symptoms.

scholarly journals Acceptability and Results of Dementia Screening Among Older Adults in the United States

2017 ◽  
Vol 15 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Amanda Harrawood ◽  
Nicole R. Fowler ◽  
Anthony J. Perkins ◽  
Michael A. LaMantia ◽  
Malaz A. Boustani
Keyword(s):  
United States ◽  
Older Adults ◽  
Primary Care ◽  
The United States ◽  
Cognitive Screening ◽  
Cross Sectional ◽  
Community Screening ◽  
Positive Screen ◽  
Dementia Screening ◽  
Primary Care Patients

Objectives: To measure older adults acceptability of dementia screening and assess screening test results of a racially diverse sample of older primary care patients in the United States. Design: Cross-sectional study of primary care patients aged 65 and older. Setting: Urban and suburban primary care clinics in Indianapolis, Indiana, in 2008 to 2009. Participants: Nine hundred fifty-four primary care patients without a documented diagnosis of dementia. Measurements: Community Screening Instrument for Dementia, the Mini-Mental State Examination, and the Telephone Instrument for Cognitive Screening. Results: Of the 954 study participants who consented to participate, 748 agreed to be screened for dementia and 206 refused screening. The overall response rate was 78.4%. The positive screen rate of the sample who agreed to screening was 10.2%. After adjusting for demographic differences the following characteristics were still associated with increased likelihood of screening positive for dementia: age, male sex, and lower education. Patients who believed that they had more memory problems than other people of their age were also more likely to screen positive for dementia. Conclusion: Age and perceived problems with memory are associated with screening positive for dementia in primary care.

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