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  1. Article ; Online: Female sexual dysfunction associated with idiopathic cerebellar ataxia: A case report.

    López-Sosa, Carmen / Gámez-Zapata, Jorge / Iglesias-de-Sena, Helena / Alonso-Sardón, Montserrat

    BMC women's health

    2019  Volume 19, Issue 1, Page(s) 133

    Abstract: Background: Cerebellar ataxia affects individuals in reproductive age. To date, few clinical cases of cerebellar ataxia and involvement of the cerebellum in sexual response were reported. We report a case of a woman that need to restore skills related ... ...

    Abstract Background: Cerebellar ataxia affects individuals in reproductive age. To date, few clinical cases of cerebellar ataxia and involvement of the cerebellum in sexual response were reported. We report a case of a woman that need to restore skills related for execution of sexual activity and coordination of movements during sexual intercourse.
    Case presentation: We present a case of idiopathic cerebellar ataxia in a 25-year-old woman who was referred for sexual health consultation. The patient complained of sexual problems as follows: "I forgot the behaviors that I should adopt in a sexual encounter, and I know what to do only after paying attention to my movements." The history of sexual behavior indicated that this patient presented a "romantic love" model. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) reports that this condition involves anorgasmia disorder and female sexual arousal disorder. In addition, there was a loss of automatism and coordination of movements in the pelvis and lower extremities. The patient's condition improved with occupational and physical therapy combined with rehabilitation therapy based on cognitive behavioral criteria for sexual therapy.
    Conclusions: The case evolved from the romantic-affective model to a realistic model. The patient reported being comfortable during sexual intercourse and could explain her sexual needs to her partner. She managed to coordinate lower limb and pelvic movements, but did not reach an orgasm. Moreover, vaginal lubrication occurred with a time lag of 15-30 min after the end of sexual intercourse or masturbation.
    MeSH term(s) Adult ; Cerebellar Ataxia/complications ; Coitus/psychology ; Female ; Humans ; Sexual Behavior/psychology ; Sexual Dysfunction, Physiological/psychology ; Sexual Dysfunctions, Psychological/psychology
    Language English
    Publishing date 2019-11-07
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1472-6874
    ISSN (online) 1472-6874
    DOI 10.1186/s12905-019-0833-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Do health and social support and personal autonomy have an influence on the health-related quality of life of individuals with intellectual disability?

    Alonso-Sardón, Montserrat / Iglesias-de-Sena, Helena / Fernández-Martín, Luz Celia / Mirón-Canelo, José Antonio

    BMC health services research

    2019  Volume 19, Issue 1, Page(s) 63

    Abstract: Background: The aim of this study was to assess the relation between perceived social support and personal autonomy of individuals with intellectual disabilities and Health-Related Quality of Life.: Methods: A cross-sectional study with a multicentre ...

    Abstract Background: The aim of this study was to assess the relation between perceived social support and personal autonomy of individuals with intellectual disabilities and Health-Related Quality of Life.
    Methods: A cross-sectional study with a multicentre sample was carried out including 162 institutionalized individuals with intellectual disability. The measurement tool was a structured questionnaire with sociodemographic variables, and three scales: Functional Independence Measure(FIM) scale, Duke-UNC Functional Social Support Questionnaire, and SF-36 Health Survey, which were completed during an individual/family interview.
    Results: The perception of received social support is high on all 11 items of the Duke-UNC questionnaire, with an average of 3.45 for item-1 and 4.85 for item-11, which represents a total perceived support of an average 47.98 points (±SD7.30) (normal support). The Mental-Health component is rated worse than Physical-Health (67.41 vs. 71.74). The average rates for the different dimensions range from 57.34 points for Social-Functioning (the lowest rating) to 79.61 points for Bodily-Pain (highest rating). A multiple linear regression analysis reveals that the dimensions of Physical-Functioning (p < 0.001), Role-Physical (p = 0.016) and Bodily-Pain (p = 0.022), which are elements of the Physical-Health component, are independent predictive variables with the Degree of Autonomy (FIM) as a dependent variable. Social-Support (Duke-UNC) as a dependent variable is determined by the dimensions of Vitality (p = 0.014), Role-Emotional (p = 0.001) and Mental-Health (p < 0.001), which are part of the Mental-Health component and act as independent predictive variables.
    Conclusions: Individuals with intellectual disability and a higher degree of personal autonomy determined by institutional and family support report better Health and Quality of Life.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Emotions ; Female ; Health Surveys ; Humans ; Intellectual Disability/psychology ; Male ; Mental Health ; Middle Aged ; Pain/psychology ; Perception ; Personal Autonomy ; Quality of Life/psychology ; Social Support ; Surveys and Questionnaires
    Language English
    Publishing date 2019-01-23
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-018-3856-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Adverse Effects in Patients with Intellectual and Developmental Disabilities Hospitalized at the University Clinical Hospital.

    Alonso-Sardón, Montserrat / Sáez-Lorenzo, María / Chamorro, Antonio Javier / Fernández-Martín, Luz Celia / Iglesias-de-Sena, Helena / González-Núñez, Verónica / Santos-Sánchez, José Ángel / Carbonell, Cristina / Lorenzo-Gómez, María Fernanda / Mirón-Canelo, José Antonio

    Journal of personalized medicine

    2022  Volume 12, Issue 11

    Abstract: 1) Background: Providing the patient with the health care they need in a personalized and appropriate manner and without adverse effects (AEs) is a part of quality of care and patient safety. The aim of this applied research project was the assessment ... ...

    Abstract (1) Background: Providing the patient with the health care they need in a personalized and appropriate manner and without adverse effects (AEs) is a part of quality of care and patient safety. The aim of this applied research project was the assessment of AEs as a clinical risk in patients with high social vulnerability such as persons with intellectual and developmental disabilities (PwIDD). (2) Methods: A retrospective epidemiological cohort study was performed on exposed and unexposed groups (the control group) in order to estimate the incidence of AEs in PwIDDs and assess their importance for this category of patients. (3) Results: AEs were observed with a frequency of 30.4% (95% CI) in the PwIDD exposed group, with significant differences to the unexposed group (
    Language English
    Publishing date 2022-11-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm12111898
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  4. Article ; Online: Therapeutic and Preventive Efficacy of an Intervention on Workers in a Back School.

    Rodríguez, Alberto Benito / Ternavasio-de la Vega, Hugo Guillermo / Santos Sánchez, José Ángel / Iglesias de Sena, Helena / Marcos, Miguel / Chamorro, Antonio Javier / Mirón-Canelo, José Antonio

    International journal of environmental research and public health

    2022  Volume 19, Issue 2

    Abstract: Back pain and its ailments are the main cause of absenteeism and sick leave. Furthermore, the cause of pain and disability in a large number of workers is unknown, and treatments are not effective in controlling it. For this reason, the Back Schools (BSs) ...

    Abstract Back pain and its ailments are the main cause of absenteeism and sick leave. Furthermore, the cause of pain and disability in a large number of workers is unknown, and treatments are not effective in controlling it. For this reason, the Back Schools (BSs) provide theoretical and practical training to workers so that they can acquire knowledge and skills that will allow them to adequately manage their back problems, enabling them to recover their autonomy and prevent relapses. The aim of the study is to analyse the efficacy of a BS by means of the evaluation of pain and disability scales in workers in different sectors and in construction. The most important clinical benefits obtained after the intervention of a BS are the reduction of pain and disability. Statistically significant and clinically relevant results have been observed between the initial assessment and the 6-month review. BS has been shown to be effective in reducing low back and neck pain and disability during the first 6 months of follow-up. Construction workers have pain and disability rates at the overall mean and with improvements between the initial assessment and the 6-month review. Their rates of improvement are clinically more relevant than for the overall population analysed.
    MeSH term(s) Absenteeism ; Back Pain/epidemiology ; Back Pain/prevention & control ; Humans ; Neck Pain/epidemiology ; Schools ; Sick Leave
    Language English
    Publishing date 2022-01-17
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19021000
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: B-learning training in the certification of causes of death.

    Alonso-Sardón, Montserrat / Iglesias-de-Sena, Helena / Sáez-Lorenzo, María / Chamorro Fernández, Antonio Javier / Salvat-Puig, Juan / Mirón-Canelo, José Antonio

    Journal of forensic and legal medicine

    2015  Volume 29, Page(s) 1–5

    Abstract: Introduction: An adequate certification of causes of death is essential for Public Health. The objective of this work is to improve the professional competence of medicine students and family doctors with regard to the certification of causes of death ... ...

    Abstract Introduction: An adequate certification of causes of death is essential for Public Health. The objective of this work is to improve the professional competence of medicine students and family doctors with regard to the certification of causes of death according to the international regulations of the WHO.
    Methods: Intervention-formation, before and after design, addressed to students of Medicine in their last year (6th year), and Family Doctors and Interns. The blended learning or b-learning program consisted in an on-site seminar-workshop, plus basic information/documentation stored in an on-line platform, together with the preparation of Certificates of Causes of Death based on Clinical Histories of real cases.
    Results: 308 students participated in the program. We observed an individual improvement in the professional competence in all certifications of death, which was significant in 3 out of 5 cases (it was not significant in a medical-legal case of violent death and the case of a pluripathological chronic patient). The intermediate causes improved in all cases. Most formal aspects of the certification improved with significant changes. In the group of 62 Family Doctors and interns who took part in the program there were improvements in the basic or underlying causes in 4 of the 5 cases and improvements in the formal quality of the assessment, although less significantly than in students, because they started with better basal indexes in their certificates in the Before stage of the study.
    Conclusions: Blended learning training has shown to be effective in improving the professional competence, both in students of the Degree of Medicine and in practicing Family Doctors and Interns.
    MeSH term(s) Abbreviations as Topic ; Cause of Death ; Clinical Competence ; Death Certificates ; Education, Medical, Continuing/methods ; Education, Medical, Undergraduate/methods ; Handwriting ; Humans ; Quality Control ; Terminology as Topic ; World Health Organization
    Language English
    Publishing date 2015-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268721-X
    ISSN 1878-7487 ; 1752-928X
    ISSN (online) 1878-7487
    ISSN 1752-928X
    DOI 10.1016/j.jflm.2014.10.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Association between Occupational Exposure to Wood Dust and Cancer: A Systematic Review and Meta-Analysis.

    Alonso-Sardón, Montserrat / Chamorro, Antonio-J / Hernández-García, Ignacio / Iglesias-de-Sena, Helena / Martín-Rodero, Helena / Herrera, Cristian / Marcos, Miguel / Mirón-Canelo, José Antonio

    PloS one

    2015  Volume 10, Issue 7, Page(s) e0133024

    Abstract: Objective: To perform a systematic review to analyze the association between occupational exposure to wood dust and cancer.: Methods: A systematic literature search of entries made in the MEDLINE-PubMed database between 1957 and 2013 was conducted to ...

    Abstract Objective: To perform a systematic review to analyze the association between occupational exposure to wood dust and cancer.
    Methods: A systematic literature search of entries made in the MEDLINE-PubMed database between 1957 and 2013 was conducted to identify studies that had assessed the relationship between occupational exposure to wood dust and different types of cancer. A meta-analysis of selected case-control and cohort studies was subsequently performed.
    Results: A total of 114 studies were identified and 70 were selected for review. Of these, 42 studies focused on the relationship between wood dust and nasal cancer (n = 22), lung cancer (n = 11), and other types of cancer (n = 9). Low-to-moderate quality evidence that wood dust acts as a carcinogen was obtained, and a stronger association between wood dust and nasal adenocarcinoma was observed. A lesser association between wood dust exposure and lung cancer was also observed. Several studies suggested that there is a relationship between wood dust and the onset of other cancers, although there was no evidence to establish an association. A meta-analysis that included four case-controls studies showed that workers exposed to wood dust exhibited higher rates of nasal adenocarcinoma than other workers (odds ratio = 10.28; 95% confidence interval: 5.92 and 17.85; P<0,0001), although a large degree of heterogeneity was found.
    Conclusions: Low-to-moderate quality evidence supports a causal association between cancer and occupational exposure to wood dust, and this association was stronger for nasal adenocarcinoma than for lung cancer. There was no evidence of an association between wood dust exposure and the other cancers examined.
    MeSH term(s) Air Pollutants, Occupational/chemistry ; Air Pollutants, Occupational/toxicity ; Case-Control Studies ; Databases, Factual ; Dust/analysis ; Humans ; Lung Neoplasms/etiology ; Nose Neoplasms/etiology ; Occupational Diseases/etiology ; Occupational Exposure ; Wood/chemistry
    Chemical Substances Air Pollutants, Occupational ; Dust
    Language English
    Publishing date 2015
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0133024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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