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      PROGRAMA EDUCATIVO DE CÁNCER DE MAMA EN MUJERES QUE ACUDEN A QUIMIOTERAPIA DURANTE EL CONTEXTO DE PANDEMIA POR COVID19. Translated title: Breast CANCER educational program in women who attend chemotherapy during the context of COVID19 pandemic

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          Abstract

          Introducción: el cáncer de mama es la principal causa de muerte en México, por lo que la alfabetización en salud durante la pandemia de Covid19 resulta de gran importancia para reducir la morbimortalidad. Objetivo: evaluar la efectividad y grado de satisfacción de un programa educativo oncológico durante la pandemia de covid19.

          Material y métodos: Estudio cuasiexperimental pre-post intervención educativa (programa educativo breve), en 31 pacientes que acudieron a quimioterapia durante la pandemia entre abril y julio 2021, incluyendo educación sobre Covid19, educación terapéutica sobre cáncer de mama y herramientas de promoción de salud. El alfabetismo en salud se analizó mediante prueba de rangos de Wilcoxon, para muestras relacionadas.

          Resultados: la prueba de Wilcoxon fue estadísticamente significativa pre-post programa educativo (Z − 4.876, p < 0,001) con un incremento del 70% al 83.3% de aciertos post programa educativo y un grado de satisfacción del 87.09%.

          Conclusión: un programa educativo breve, implementado en un hospital oncológico durante la pandemia, es eficaz para incrementar el alfabetismo en salud y es bien valorado por las participantes.

          Translated abstract

          Introduction: breast cancer is the most important cause of death in Mexico, so health literacy during the Covid19 pandemic is very important to reduce morbidity and mortality. Objective: to evaluate the effectiveness and satisfaction of an educational oncology program during the covid-19 pandemic.

          Material and methods: Quasi-experimental study pre-post educational intervention (brief educational program), in 31 patients who underwent chemotherapy during the pandemic between April and July 2021, including Covid19 education, therapeutic education in breast cancer and health promotion recommendations. Health literacy was analyzed using the Wilcoxon rank test for related samples.

          Results: the Wilcoxon test was statistically significant pre-post educational program (Z − 4.876, p < 0.001) with an increase from 70% to 83.3% of correct answers after the educational program and a satisfaction of 87.09%.

          Conclusion: a brief educational program, implemented in a cancer hospital during the pandemic, is effective in increasing health literacy and is highly valued by the participants.

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          Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus–Infected Pneumonia

          Abstract Background The initial cases of novel coronavirus (2019-nCoV)–infected pneumonia (NCIP) occurred in Wuhan, Hubei Province, China, in December 2019 and January 2020. We analyzed data on the first 425 confirmed cases in Wuhan to determine the epidemiologic characteristics of NCIP. Methods We collected information on demographic characteristics, exposure history, and illness timelines of laboratory-confirmed cases of NCIP that had been reported by January 22, 2020. We described characteristics of the cases and estimated the key epidemiologic time-delay distributions. In the early period of exponential growth, we estimated the epidemic doubling time and the basic reproductive number. Results Among the first 425 patients with confirmed NCIP, the median age was 59 years and 56% were male. The majority of cases (55%) with onset before January 1, 2020, were linked to the Huanan Seafood Wholesale Market, as compared with 8.6% of the subsequent cases. The mean incubation period was 5.2 days (95% confidence interval [CI], 4.1 to 7.0), with the 95th percentile of the distribution at 12.5 days. In its early stages, the epidemic doubled in size every 7.4 days. With a mean serial interval of 7.5 days (95% CI, 5.3 to 19), the basic reproductive number was estimated to be 2.2 (95% CI, 1.4 to 3.9). Conclusions On the basis of this information, there is evidence that human-to-human transmission has occurred among close contacts since the middle of December 2019. Considerable efforts to reduce transmission will be required to control outbreaks if similar dynamics apply elsewhere. Measures to prevent or reduce transmission should be implemented in populations at risk. (Funded by the Ministry of Science and Technology of China and others.)
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            Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review

            Background The coronavirus disease (COVID-19) has been identified as the cause of an outbreak of respiratory illness in Wuhan, Hubei Province, China beginning in December 2019. As of 31 January 2020, this epidemic had spread to 19 countries with 11 791 confirmed cases, including 213 deaths. The World Health Organization has declared it a Public Health Emergency of International Concern. Methods A scoping review was conducted following the methodological framework suggested by Arksey and O’Malley. In this scoping review, 65 research articles published before 31 January 2020 were analyzed and discussed to better understand the epidemiology, causes, clinical diagnosis, prevention and control of this virus. The research domains, dates of publication, journal language, authors’ affiliations, and methodological characteristics were included in the analysis. All the findings and statements in this review regarding the outbreak are based on published information as listed in the references. Results Most of the publications were written using the English language (89.2%). The largest proportion of published articles were related to causes (38.5%) and a majority (67.7%) were published by Chinese scholars. Research articles initially focused on causes, but over time there was an increase of the articles related to prevention and control. Studies thus far have shown that the virus’ origination is in connection to a seafood market in Wuhan, but specific animal associations have not been confirmed. Reported symptoms include fever, cough, fatigue, pneumonia, headache, diarrhea, hemoptysis, and dyspnea. Preventive measures such as masks, hand hygiene practices, avoidance of public contact, case detection, contact tracing, and quarantines have been discussed as ways to reduce transmission. To date, no specific antiviral treatment has proven effective; hence, infected people primarily rely on symptomatic treatment and supportive care. Conclusions There has been a rapid surge in research in response to the outbreak of COVID-19. During this early period, published research primarily explored the epidemiology, causes, clinical manifestation and diagnosis, as well as prevention and control of the novel coronavirus. Although these studies are relevant to control the current public emergency, more high-quality research is needed to provide valid and reliable ways to manage this kind of public health emergency in both the short- and long-term.
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              Breast cancer survivorship: a comprehensive review of long-term medical issues and lifestyle recommendations.

              As breast cancer becomes a chronic condition rather than a life-threatening illness, survivors not only have the challenge of dealing with multiple long-term side effects of treatment protocols, but may also be forced to address the preexisting comorbidities of their therapies, which often include multiple other issues. It is imperative that the information available regarding survivorship issues be accessible in an organized and useful format. This article is a modest attempt to provide a comprehensive review of the long-term medical issues.
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                Author and article information

                Journal
                Revista De Senología Y Patología Mamaria
                SESPM. Published by Elsevier España, S.L.U.
                0214-1582
                1578-1399
                25 November 2022
                25 November 2022
                : 100440
                Affiliations
                [1 ]Instituto Mexicano del Seguro Social. Hospital de Oncología. Ciudad de, Mexico.
                [2 ]Instituto de Investigación sanitaria de Navarra IdisNa, Medicina preventiva y Salud pública. Departamento de Ciencias de la salud. Universidad Pública de Navarra, Pamplona, Spain.
                [3 ]Departamento de Ciencias de la salud. Universidad Pública de Navarra. Pamplona, Spain.
                Author notes
                [* ]Autor para correspondencia.
                Article
                S0214-1582(22)00131-1 100440
                10.1016/j.senol.2022.100440
                9691454
                0a5f5781-20fd-44d8-b072-26c06ec66aa6
                © 2022 SESPM. Published by Elsevier España, S.L.U. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 24 June 2022
                : 4 November 2022
                Categories
                Original

                programa educativo,alfabetismo en salud,cáncer de mama,pandemia de covid19,educational program,health literacy,breast cancer,covid19 pandemic

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