Atencion Primaria Practica最新文献_第2页

When seborrheic keratosis is a concern… and melanoma isn't… 当脂溢性角化病令人担忧......而黑色素瘤并非如此...

Atencion Primaria Practica Pub Date : 2024-07-01 Epub Date: 2024-07-05 DOI: 10.1016/j.appr.2024.100204

Manuel Ferreira Veloso , Catarina Alves da Silva

引用次数: 0

Round cell sarcoma in an adult patient from a resource-limited area in Somalia: A case report 索马里资源有限地区一名成年患者的圆形细胞肉瘤：病例报告

Atencion Primaria Practica Pub Date : 2024-07-01 DOI: 10.1016/j.appr.2024.100203

Abdiwahab Osman Saed , Rahma Mouse Aden , Sakarie Sh. Dahir Hussein , Yousuf Ismail Suleiman , Mohamed Osman Saed , Hassan Sh. Abdirahman Elmi

{"title":"Round cell sarcoma in an adult patient from a resource-limited area in Somalia: A case report","authors":"Abdiwahab Osman Saed , Rahma Mouse Aden , Sakarie Sh. Dahir Hussein , Yousuf Ismail Suleiman , Mohamed Osman Saed , Hassan Sh. Abdirahman Elmi","doi":"10.1016/j.appr.2024.100203","DOIUrl":"https://doi.org/10.1016/j.appr.2024.100203","url":null,"abstract":"<div><h3>Introduction</h3><p>A tumor refers to an abnormal mass of cells in the body, which can be either benign or malignant. Among cancers, breast cancer is the most frequently diagnosed in females, followed by lung cancer and prostate cancer. Sarcomas, comprising over 70 different subtypes, represent approximately 1% of all cancers.</p></div><div><h3>Case presentation</h3><p>A 21-year-old from Borama, Somaliland/Somalia, presented with a 5-day fever, along with other symptoms. Past surgical history revealed a thyroid lesion diagnosed as round cell sarcoma. Imaging showed thyroid carcinoma with metastases.</p></div><div><h3>Discussion</h3><p>The rising cancer incidence in sub-Saharan Africa is attributed to factors like increased life expectancy and lifestyle changes. Challenges in rare cancer cases include late-stage diagnosis and limited treatment options. Efforts to persuade the patient for treatment are ongoing.</p></div><div><h3>Conclusion</h3><p>Improvements in healthcare infrastructure, access to imaging, and pathology services, along with cultural sensitivity, are crucial in managing rare cancers like round cell sarcoma in sub-Saharan Africa.</p></div>","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"6 3","pages":"Article 100203"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073024000130/pdfft?md5=993a851c17cb69fc473a2019e0a43e06&pid=1-s2.0-S2605073024000130-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141485928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relanzar la atención primaria y comunitaria: un compromiso colectivo 重新启动初级和社区保健：集体承诺

Atencion Primaria Practica Pub Date : 2024-07-01 Epub Date: 2024-07-05 DOI: 10.1016/j.appr.2024.100202

Amando Martín Zurro , Joan Gené Badia , Josep Jiménez Villa , Carme Batalla Martínez , Juan José Mascort Roca

引用次数: 0

Dermatitis anular de gran tamaño y su presunto vector 大面积环状皮炎及其可疑病媒

Atencion Primaria Practica Pub Date : 2024-07-01 Epub Date: 2024-08-19 DOI: 10.1016/j.appr.2024.100209

Carles Albaladejo Blanco, Mercede Beccia, Silvia Martínez González

引用次数: 0

Doctor, tengo piedras en el pulmón: a propósito de un caso sobre las enfermedades intersticiales pulmonares en atención primaria 医生，我的肺里有结石：基层医疗机构间质性肺病病例报告

Atencion Primaria Practica Pub Date : 2024-07-01 Epub Date: 2024-08-24 DOI: 10.1016/j.appr.2024.100210

Alba García Jiménez , María Isabel Colomer Martorell

引用次数: 0

El Papel de los psicólogos clínicos en la atención primaria, de los enfermeros y los farmacéuticos en el manejo de la ansiedad 基层医疗机构的临床心理学家、护士和药剂师在焦虑症管理中的作用。

Atencion Primaria Practica Pub Date : 2024-04-01 Epub Date: 2024-02-05 DOI: 10.1016/j.appr.2024.100191

Aurora Fernández Moreno

{"title":"El Papel de los psicólogos clínicos en la atención primaria, de los enfermeros y los farmacéuticos en el manejo de la ansiedad","authors":"Aurora Fernández Moreno","doi":"10.1016/j.appr.2024.100191","DOIUrl":"https://doi.org/10.1016/j.appr.2024.100191","url":null,"abstract":"<div><p>The burden on Primary Care professionals to carry out assessments and treatments for mild mental disorders (MMD), with the rigour of clinical practice guidelines and available resources, leads to over-medicalization and the consequent higher health expenditure and the possibility of chronicling the problem. To treat mild mental disorders, specifically anxiety disorders, multiprofessional work is proposed (doctors, psychologists, nurses, pharmacists) where the patient occupies the center of actions. Clinical psychologists incorporated into health centers perform psychological assessment of patients referred by family doctors, to form therapy groups. PC nurses develop some interventions, depending on the level of anxiety experienced by the person and following the systematic nursing care plan. Community pharmacists detect anxiety-related problems early, are actively involved in the dispensing service and, with proper training, provide emotional support and counseling to the anxious patient.</p></div>","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"6 2","pages":"Article 100191"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073024000014/pdfft?md5=28ab86b0d87ea84b6ba0145ac2c1f056&pid=1-s2.0-S2605073024000014-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinantes sociales de la ansiedad en el siglo XXI 21 世纪焦虑的社会决定因素

Atencion Primaria Practica Pub Date : 2024-04-01 Epub Date: 2024-02-06 DOI: 10.1016/j.appr.2024.100192

Víctor Expósito-Duque , María Elisa Torres-Tejera , José Antonio Domínguez Domínguez

{"title":"Determinantes sociales de la ansiedad en el siglo XXI","authors":"Víctor Expósito-Duque , María Elisa Torres-Tejera , José Antonio Domínguez Domínguez","doi":"10.1016/j.appr.2024.100192","DOIUrl":"https://doi.org/10.1016/j.appr.2024.100192","url":null,"abstract":"<div><p>Anxiety is a natural response that sometimes generates excessive suffering and maladaptation. Anxiety disorders have intensified during the 21st century, leading to increased diagnosis and treatment. The determinants are diverse (biological, psychological, social, and environmental). The text highlights the role of social determinants and how changes in the last century have created an anxiety-inducing environment. Technology and social media contribute to anxiety through dependency, cyberbullying, and overexposure to negative information. Workplace, body image, and lack of privacy also contribute to anxiety. Climate change generates eco-anxiety and concern for the future, particularly affecting young people. Extreme weather events and forced migration increase the risk of mental disorders. In summary, the rise of anxiety in contemporary society appears to be due to a complex interplay of social, technological, occupational, and environmental factors.</p></div>","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"6 2","pages":"Article 100192"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073024000026/pdfft?md5=b1a79c559944cf619f76744f27b2c0e3&pid=1-s2.0-S2605073024000026-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

La ansiedad como pandemia: desafíos y reflexiones 焦虑作为一种流行病：挑战与思考

Atencion Primaria Practica Pub Date : 2024-04-01 Epub Date: 2024-03-18 DOI: 10.1016/j.appr.2024.100196

Aldo Medina Gamero

引用次数: 0

Left temporal epilepsy unmasking tuberculoma in an immunocompetent adolescent: Case report 免疫功能正常的青少年左颞部癫痫掩盖了结核瘤：病例报告

Atencion Primaria Practica Pub Date : 2024-04-01 Epub Date: 2024-04-06 DOI: 10.1016/j.appr.2024.100198

Abdirahman Ibrahim Said , Mohamoud Abdulahi , Abdirahman Omer Ali , Asma Mohamoud Koshin , Said Ahmed Walhad , Abdisalam Hassan Muse

{"title":"Left temporal epilepsy unmasking tuberculoma in an immunocompetent adolescent: Case report","authors":"Abdirahman Ibrahim Said , Mohamoud Abdulahi , Abdirahman Omer Ali , Asma Mohamoud Koshin , Said Ahmed Walhad , Abdisalam Hassan Muse","doi":"10.1016/j.appr.2024.100198","DOIUrl":"https://doi.org/10.1016/j.appr.2024.100198","url":null,"abstract":"<div><p>Tuberculosis (TB) is a chronic granulomatous disease caused by <em>Mycobacterium tuberculosis</em>, with extrapulmonary manifestations occurring in approximately 1% of cases. Among these, central nervous system involvement, including intracranial tuberculomas, is rare. We present the case of a 13-year-old female from Borama, Somalia, admitted with abnormal lip movements and a complex medical history, including weight loss, recurrent urinary tract infections, and a familial predisposition to TB. Neurological examination revealed left-sided facial deviation and hyperreflexia, prompting investigations that confirmed left temporal epilepsy and a right-sided tuberculoma. Treatment with levetiracetam and anti-TB medication led to significant improvement. This case underscores the importance of considering tuberculomas in the differential diagnosis of neurological presentations, even in non-HIV patients, especially in resource-limited settings like Africa.</p></div>","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"6 2","pages":"Article 100198"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073024000087/pdfft?md5=529dbe1c92b1b26aa5b00a0c5600e777&pid=1-s2.0-S2605073024000087-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estrategias no farmacológicas en el tratamiento de la ansiedad 治疗焦虑症的非药物策略

Atencion Primaria Practica Pub Date : 2024-04-01 Epub Date: 2024-02-07 DOI: 10.1016/j.appr.2024.100193

Auxiliadora Rodríguez Tejada , M. Elisa Torres Tejera

引用次数: 0