No abstract

Persistent COVID-19 condition includes a wide variety of symptoms and health problems of indeterminate duration. The present study examined the sociodemographic and clinical characteristics of the population with Long COVID seen in Primary Care using a questionnaire based on the existing scientific literature. It was an observational and descriptive study of the characteristics of the Spanish population with Long COVID over 14 years of age. The responses were analysed by means of a descriptive analysis of the variables recorded, in addition to a bivariate analysis to determine the existence of a relationship between persistent COVID-19 and variables such as gender, age, vaccination status or concomitant pathology. The results obtained clearly describe the sociodemographic characteristics of the population, highlighting the predominance of female gender and the prevalence of tiredness and fatigue. Furthermore, relevant information was obtained on the differences in symptomatology according to gender, age, previous pathologies and alterations derived from infection and/or vaccination. These data are important for better detection, diagnosis and treatment of Long COVID and the improvement of the quality of life of this population.

Introducción: La evaluación de las actividades y la participación son dos elementos claves en la funcionalidad del miembro superior (MS) para el proceso de neurorrehabilitación. Conocer la evaluación que realizan los/as profesionales de la terapia ocupacional puede ser de utilidad para la rehabilitación. Por tanto, el objetivo principal del estudio fue describir el proceso de evaluación del MS en adultos con daño cerebral adquirido (DCA), realizado por terapeutas ocupacionales en España. Métodos: Se diseñó un estudio transversal con terapeutas ocupacionales españoles que trataban el MS en pacientes con DCA mediante una encuesta online, entre marzo y mayo del 2020. En ella, se recogió información sobre variables sociodemográficas, formativas, laborales y sobre el proceso de evaluación. Resultados: Un total de 47 terapeutas ocupacionales de una edad mediana de 31 años y mayoritariamente mujeres participaron en el estudio. El 57% reportó dedicar menos del 25% de su jornada a la tarea de evaluación. Se identificaron 110 escalas de evaluación, de las cuales el 62% se dedicaban a evaluar funciones y estructuras, el 19% actividades y 19% a participación. Las herramientas más utilizadas fueron Fulg Meyer Assessment, Nine Hole Peg Test y Disabilities of the Arm, Shoulder and Hand. Conclusiones: El tiempo dedicado a la evaluación fue escaso y un pequeño porcentaje de terapeutas ocupacionales evaluaron las actividades y participación.

Breast cancer (BC) is the most common cancer diagnosis with the highest mortality rate worldwide. The aim of this study was to identify factors related to depression and anxiety in mastectomized women BC survivors. A cross-sectional study was conducted with a sample of 198 women diagnosed with BC aged 30–80 years in Mexico. Depression and anxiety were assessed using the 14-item Hospital Anxiety and Depression Scale (HADS). The results showed that 94.44% and 69.18% of the women scored more than eight points on HADS in the anxiety and depression subscales, respectively; 70.20% and 10.60% were identified as pathological. The following variables were analyzed: age, time elapsed since the start of treatment, received treatment at the time of the evaluation, type of surgery, family history, marital status and employment status. Time elapsed since surgery, having a partner, and employment showed significant results as factors associated to levels of depression and anxiety in these patients. In conclusion, it has been shown that BCSs under 50 years of age receiving some kind of treatment, without family history, without a partner, with a job, with more than secondary education and with more than 5 years since diagnosis could have higher rates of clinical depression. On the other hand, BCSs older than 50 years receiving some kind of treatment, without family history, without a partner, with a job, with more than secondary education and with more than 5 years since diagnosis, could have higher rates of clinical anxiety. In conclusion, the variables studied provide valuable information for the implementation of psychotherapy plans in healthcare systems to reduce the risk of depression and/or anxiety in women with BC who have undergone mastectomy.