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  1. Article ; Online: Las TIC en la educación médica cubana en tiempos de COVID-19

    Vitón-Castillo, Adrián Alejandro / Lazo Herrera, Luis Alberto

    Educación Médica ; ISSN 1575-1813

    2020  

    Keywords Education ; General Medicine ; covid19
    Language Spanish
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.1016/j.edumed.2020.07.013
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Perceived Stress by Students of the Medical Sciences in Cuba Toward the COVID-19 Pandemic: Results of an Online Survey.

    Hernández-García, Frank / Góngora Gómez, Onelis / González-Velázquez, Victor Ernesto / Pedraza-Rodríguez, Elys María / Zamora-Fung, Rolando / Lazo Herrera, Luis Alberto

    Revista Colombiana de psiquiatria (English ed.)

    2021  Volume 50, Issue 3, Page(s) 176–183

    Abstract: Introduction: The aims of this study were to determine the usefulness of the Modified (10-item) Scale of Perceived Stress related to COVID-19 (EEP-10-C, for its acronym in Spanish) and to identify the levels of stress perceived by students of medical ... ...

    Abstract Introduction: The aims of this study were to determine the usefulness of the Modified (10-item) Scale of Perceived Stress related to COVID-19 (EEP-10-C, for its acronym in Spanish) and to identify the levels of stress perceived by students of medical sciences in Cuba due to the COVID-19 pandemic.
    Methods: A cross-sectional study was conducted, with self-reported data of students from 14 Cuban universities of medical sciences (n=200), through an online survey. The EEP-10-C was used as an instrument to identify stress. Its validity was determined through a confirmatory factor analysis and its internal consistency and reliability was measured by the Cronbach's alpha. A cluster analysis was performed to establish as the cut-off point the centre of the cluster with the highest values of stress perceived by the scale.
    Results: The average age of the sample was 23.30± 1.91 years, with observed scores of the EEP-10-C between 0 and 29 points (13.25±5.404). When applying the cut-off point ≥25, only two students had high rates of perceived stress. The confirmatory factor analysis supported the validity of the instrument (α=0.755). The cut-off point ≥20 was proposed as a reference of high stress perceived for the study population, when applying this one, 14% of students presented high rates of stress.
    Conclusions: In Cuba, students of the medical sciences have participated in research and healthcare support, despite which they have presented low levels of stress. The main contribution of the research was the validation of the EEP-10-C for its use in assessing levels of stress in Cuban medical students, proposing the cut-off point ≥20 as a reference of high stress perceived.
    MeSH term(s) COVID-19/psychology ; Cross-Sectional Studies ; Cuba/epidemiology ; Factor Analysis, Statistical ; Female ; Health Surveys ; Humans ; Internet ; Male ; Perception ; Psychological Tests ; Reproducibility of Results ; Self Report ; Stress, Psychological/diagnosis ; Stress, Psychological/epidemiology ; Stress, Psychological/etiology ; Students, Medical/psychology ; Young Adult
    Language Spanish
    Publishing date 2021-09-20
    Document type Journal Article ; Multicenter Study ; Observational Study ; Validation Study
    ISSN 2530-3120
    ISSN (online) 2530-3120
    DOI 10.1016/j.rcpeng.2021.02.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Validation and application of the Insulin Treatment Appraisal Scale in Cuban patients with type 2 diabetes mellitus.

    Hernández-García, Frank / González-Velázquez, Víctor Ernesto / Pérez García, Enrique Rolando / Lazo Herrera, Luis Alberto / Pedraza-Rodríguez, Elys María / Pupo Pérez, Antonio / González Quintana, Patricia / Casanovas Figueroa, Jany

    Endocrinologia, diabetes y nutricion

    2022  Volume 69, Issue 10, Page(s) 791–801

    Abstract: Introduction: The purpose of this study was to validate the Insulin Treatment Appraisal Scale (ITAS) in the Cuban population with type 2 diabetes mellitus.: Material and methods: A cross-sectional, multicentre analytical study was performed in Cuba ... ...

    Abstract Introduction: The purpose of this study was to validate the Insulin Treatment Appraisal Scale (ITAS) in the Cuban population with type 2 diabetes mellitus.
    Material and methods: A cross-sectional, multicentre analytical study was performed in Cuba from February 2020 to April 2021; 199 patients were surveyed in a hospital institution and in primary healthcare. We used the Insulin Treatment Appraisal Scale, consisting of 20 items, with a minimum score of 20 points and a maximum of 100, where the higher the score, the worse the perception of insulin therapy. The validity of the instrument was determined by means of an exploratory factor analysis. The internal consistency and reliability of the scale were calculated by means of Cronbach's alpha coefficient. A K-means cluster analysis was performed to establish a cut-off point for poor perception of insulin therapy.
    Results: The exploratory factor analysis supported the validity of the instrument, with a Cronbach's alpha of 0.747. There were statistically significant differences between patients under insulin and non-insulin treatment in terms of the answers given in all items of the scale. The total mean score obtained was 51.96 ± 10.78, and it was lower in insulin users compared to those who used other drugs (49.79 ± 10.07 vs 55.09 ± 11.12). A score ≥65 was proposed as a cut-off point for poor perception of insulin therapy. A positive relationship was found between the body mass index values and the total score of the scale. Being female and current treatment not involving insulin were factors associated with low perception of insulin therapy.
    Conclusions: The instrument proved to be valid for the population in which it was applied. Insulin users turned out to be the ones with the best perception about its use. A cut-off point of ≥65 points for poor perception of insulin treatment was proposed for evaluation and comparison in future studies in other patient populations.
    Language English
    Publishing date 2022-11-25
    Publishing country Spain
    Document type Journal Article
    ISSN 2530-0180
    ISSN (online) 2530-0180
    DOI 10.1016/j.endien.2021.11.036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: COVID-19 contagion concern scale (PRE-COVID-19): Validation in Cuban patients with type 2 diabetes.

    Caycho-Rodríguez, Tomás / Vilca, Lindsey W / Corrales-Reyes, Ibraín Enrique / Hernández-García, Frank / Pérez, Antonio Pupo / Quintana, Patricia González / Pérez García, Enrique Rolando / Lazo Herrera, Luis Alberto / White, Michael

    Diabetes & metabolic syndrome

    2021  Volume 15, Issue 5, Page(s) 102245

    Abstract: Aims: It is important to have valid and reliable measures to determine the psychological impact of COVID-19 in patients with diabetes; however, few instruments have been developed and validated for this population. Therefore, the aim of this study was ... ...

    Abstract Aims: It is important to have valid and reliable measures to determine the psychological impact of COVID-19 in patients with diabetes; however, few instruments have been developed and validated for this population. Therefore, the aim of this study was to validate the Scale of Worry for Contagion of COVID-19 (PRE-COVID-19) in a sample of patients with diabetes mellitus (DM).
    Materials and methods: A total of 219 patients (66.2% female, mean age 58.5 SD = 18.2) participated, selected through non-probabilistic sampling. The PRE-COVID-19 and the Generalized Anxiety Disorder Scale-2 were applied. Reliability analysis was performed for internal consistency, structural equation modeling and item response theory modeling.
    Results: The results show that a unidimensional 5-item model presents satisfactory goodness-of-fit indices and excellent reliability values. Likewise, convergent validity between the PRE-COVID-19 and a measure of anxiety is evident. All items present adequate discrimination parameters, allowing for discerning between those patients with critical concern about COVID-19 contagion from those with severe concern.
    Conclusion: It is concluded that the PRE-COVID-19 is an instrument with adequate psychometric properties to measure concern about COVID-19 infection and the emotional impact in patients with DM.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anxiety/diagnosis ; Anxiety/epidemiology ; Anxiety/etiology ; Anxiety Disorders/diagnosis ; Anxiety Disorders/epidemiology ; Anxiety Disorders/etiology ; COVID-19/epidemiology ; COVID-19/psychology ; Cuba/epidemiology ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/psychology ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Psychometrics/methods ; Psychometrics/standards ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2021-08-14
    Publishing country Netherlands
    Document type Journal Article ; Validation Study
    ZDB-ID 2273766-2
    ISSN 1878-0334 ; 1871-4021
    ISSN (online) 1878-0334
    ISSN 1871-4021
    DOI 10.1016/j.dsx.2021.102245
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Stress perceived by students of the medical sciences in Cuba toward the COVID-19 pandemic: results of an online survey

    Hernandez-Garcia, Frank / Gongora-Gomez, Onelis / Gonzalez-Velazquez, Victor Ernesto / Pedraza-Rodriguez, Elys Maria / Zamora-Fung, Rolando / Lazo Herrera, Luis Alberto

    medRxiv

    Abstract: Introduction: The aims of this study were to determine the usefulness of the Modified (10-items) Scale of Stress perceived related to COVID-19 (EEP-10-C by its acronym in Spanish) and to identify the levels of stress perceived by students of the medical ... ...

    Abstract Introduction: The aims of this study were to determine the usefulness of the Modified (10-items) Scale of Stress perceived related to COVID-19 (EEP-10-C by its acronym in Spanish) and to identify the levels of stress perceived by students of the medical sciences in Cuba toward the COVID-19 pandemic. Methods: A cross-sectional study was conducted, with self-reported data of students from fourteen Cuban Universities of Medical Sciences ( 200), through an online survey. The EEP-10-C was used as an instrument to identify stress. Its validity was determined through a confirmatory factor analysis and its internal consistency and reliability was measured by the Cronbach alph. A cluster analysis was performed to establish as cut-off point the center of the cluster with the highest values of stress perceived by the scale. Results: The average age of the sample was 23.30 +- 1.91 years, with observed scores of the EEP-10-C between 0 and 29 points (13.25 +- 5,404). When applying the cut-off point 25, only two students had high rates of stress perceived. The confirmatory factor analysis supported the validity of the instrument; with a Cronbach9s alpha of 0.755. The cutoff point 20 was proposed as a reference of high stress perceived for the study population, when applying this one, 14% of students presented high rates of stress. Discussion: In Cuba, students of the medical sciences have participated in research and supporting health care, despite which they have presented low levels of stress. The main contribution of the research was the validation of the EEP-10-C for its use in assessing levels of stress in Cuban medical students, proposing the cut-off point 20 as a reference of high stress perceived. Keywords: coronavirus disease, COVID-19, stress perceived, stress perceived scale, medicine students.
    Keywords covid19
    Language English
    Publishing date 2020-12-16
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2020.12.16.20248345
    Database COVID19

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  6. Article ; Online: Adquisición y mantenimiento de conocimientos sobre cáncer a partir de la implementación de un sistema de audiencias sanitarias en adolescentes.

    Hernández-García, Frank / Robaina-Castillo, José Ignacio / Pérez Calleja, Norma Ciriaca / González Díaz, Elena Del Carmen / Sinal Montalvo, Debbie / Lazo Herrera, Luis Alberto

    Semergen

    2020  Volume 47, Issue 2, Page(s) 91–98

    Abstract: Introduction: Cancer is one of the leading causes of death in all ages. Promoting knowledge about the disease and its risk factors in adolescents can contribute to adopting healthy lifestyles in adulthood.: Objective: To evaluate the acquisition of ... ...

    Title translation Acquiring and maintaining knowledge about cancer from a healthcare audit system in adolescents.
    Abstract Introduction: Cancer is one of the leading causes of death in all ages. Promoting knowledge about the disease and its risk factors in adolescents can contribute to adopting healthy lifestyles in adulthood.
    Objective: To evaluate the acquisition of knowledge about cancer and its retention over time in a group of adolescents, after the implementation of a healthcare audit system.
    Materials and methods: A before and after, quasi-experimental study was carried out, in adolescents from an urban secondary school in Ciego de Ávila (Cuba), between September 2017 and July 2018. The study consisted of 145 students between 12 and 15 years of age. The study was carried out in three stages: diagnosis, design and intervention, and evaluation (immediate and at six months). At six months, participants were compared with 73 other adolescents (control group) that had not received the audit system.
    Results: More than two-thirds (69%) of adolescents reported not having received information about cancer or its risk factors, and a large majority (77.2%) considering the need to receive it. By applying the designed audit system, the mean score of the participating group increased (5.08±0.27 vs. 7.0±1.51; P<.01). At six months of evaluation, significant maintenance of the knowledge acquired was achieved (7.0±1.51 vs. 5.98±1.73; P<.01), despite the mean being lower than the first stage.
    Conclusions: The health audit system managed to satisfy learning needs and light maintenance of knowledge in students six months after its application, and is considered a tool for health promotion and its application is recommended in other settings and areas where conditions allow it.
    MeSH term(s) Adolescent ; Child ; Delivery of Health Care ; Health Knowledge, Attitudes, Practice ; Health Promotion ; Humans ; Neoplasms ; Risk Factors ; Students
    Language Spanish
    Publishing date 2020-09-06
    Publishing country Spain
    Document type Journal Article
    ISSN 1578-8865
    ISSN (online) 1578-8865
    DOI 10.1016/j.semerg.2020.07.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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