Medicina de Familia-SEMERGEN最新文献

Percepción en el manejo y exposición del metotrexato en el personal de enfermería de atención primaria 初级保健护士对甲氨蝶呤管理和接触的看法

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-09-21 DOI: 10.1016/j.semerg.2024.102317

F.M. Escandell-Rico , L. Pérez-Fernández

{"title":"Percepción en el manejo y exposición del metotrexato en el personal de enfermería de atención primaria","authors":"F.M. Escandell-Rico , L. Pérez-Fernández","doi":"10.1016/j.semerg.2024.102317","DOIUrl":"10.1016/j.semerg.2024.102317","url":null,"abstract":"<div><h3>Objective</h3><p>To know the perception of nurses about the management and exposure of methotrexate in primary care nursing staff of the Orihuela Health Department.</p></div><div><h3>Material and method</h3><p>This is a descriptive qualitative study carried out through semi-structured interviews with a sample of 15 intentionally selected nurses.</p></div><div><h3>Results</h3><p>The participants expressed concern about the handling and exposure of methotrexate, which allowed them to perceive training as the greatest concern in the study unit. A main category called “knowing” was established, which encompasses all the reflections about the nurse's performance during the process of handling and exposure of cytostatics. From this main category, the following subcategories are developed: lack of knowledge, demand for training, personal protective equipment, cytostatic residues, exposure and ventilation.</p></div><div><h3>Conclusion</h3><p>Our study shows that it is necessary to accredit and reaccredit the professional skills of nurses to carry out the management of methotrexate correctly, facilitating the use of instruments to standardize variability and seeking strategies to update knowledge and skills.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142270614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Agresiones hacia el personal sanitario en España: violencias invisibilizadas, silencios inaceptables 西班牙对卫生工作者的攻击：暴力被视而不见，沉默令人无法接受

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-09-12 DOI: 10.1016/j.semerg.2024.102319

M.A. Martínez Gandolfi , J. Rodríguez Mir

引用次数: 0

Prevalencia e incidencia de las alteraciones electrocardiográficas en población general sana mayor de 49 años 49 岁以上健康普通人群心电图异常的流行率和发生率。

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-09-11 DOI: 10.1016/j.semerg.2024.102318

M. Alventosa Zaidin , M.T. Alzamora Sas , G. Pera Blanco , V.M. López-Lifante , N. Mengual-Miralles , P. Toran Monserrat

{"title":"Prevalencia e incidencia de las alteraciones electrocardiográficas en población general sana mayor de 49 años","authors":"M. Alventosa Zaidin , M.T. Alzamora Sas , G. Pera Blanco , V.M. López-Lifante , N. Mengual-Miralles , P. Toran Monserrat","doi":"10.1016/j.semerg.2024.102318","DOIUrl":"10.1016/j.semerg.2024.102318","url":null,"abstract":"<div><h3>Purpose</h3><p>To determine the prevalence and incidence of electrocardiographic abnormalities (EKG-abn).</p></div><div><h3>Material and methods</h3><p><em>Design.</em> 2 stage study: 1st: descriptive cross-sectional, 2nd: prospective cohort. <em>Location</em>. 28 urban primary health centers in Barcelona city area. <em>Participants</em>. The study population was composed by patients who had participated in the population based ARTPER multicentric study. This study has two phases where each patient had one EKG, physical examination and blood test to obtain the secondary variables. The available EKG from both phases were reviewed, achieving a total of 2,727 patients with EKG. 601 (22%) individuals with CV disease were excluded. A total of 2.126 patients were studied of whom 392 (18%) had 2 EKG, one at each phase. <em>Mean measurements</em>. The association between the presence of EKG-abn and explanatory variables was performed using multivariate logistic regression, obtaining odds ratios (OR) and their 95% confidence intervals (95%CI).</p></div><div><h3>Results</h3><p>58% women and average age 66years. 32% (95%CI: 30%-34%) (n=671) presented EKG-abn of whom 60% (n=402) were minor and 40% (n=269) major disorders. The most common EKG-abn were the conduction disturbances. EKG-abn were associated with males (OR: 1.7; 95%CI: 1.4-2.1) and patients older than 65 (OR: 1.6; 95%CI: 1.4-2.0). Among the 345 people without EKG-abn at baseline and with 2 available EKG, 71 showed an EKG-abn at the second EKG (incidence in 4.7years of 21% (95%CI: 16%-25%).</p></div><div><h3>Conclusion</h3><p>EKG abnormalities are common in healthy general population. EKG-abn are more common in male and elderly patients.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

¿Cómo influyen las características individuales y el área de residencia en la solicitud de interconsultas virtuales? 个人特征和居住地区如何影响虚拟咨询请求？

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-08-28 DOI: 10.1016/j.semerg.2024.102296

A. Marco-Ibáñez , I. Aguilar-Palacio , A. Gamba-Cabezas , M.L. Compés-Dea , C. Aibar Remón

{"title":"¿Cómo influyen las características individuales y el área de residencia en la solicitud de interconsultas virtuales?","authors":"A. Marco-Ibáñez , I. Aguilar-Palacio , A. Gamba-Cabezas , M.L. Compés-Dea , C. Aibar Remón","doi":"10.1016/j.semerg.2024.102296","DOIUrl":"10.1016/j.semerg.2024.102296","url":null,"abstract":"<div><h3>Introduction</h3><p>The foundation of virtual consultation is to improve the cooperation and the coordination between Primary Care and other specialties. However, in its use inequities related to socioeconomic determinants have been described. The aim of this study was to identify individual and geographical factors affecting the likelihood of accessing this resource.</p></div><div><h3>Material and methods</h3><p>Descriptive study of virtual and non-virtual consultations requested by Primary Care doctors from other specialists doctors in Aragon between 1 January 2020 and 31 December 2022. Characteristics of the interconsultations and variables specific to the patient treated were recorded and analyzed; and the request rate for virtual consultations by specialty and the standardized rates by age by Basic Health Zone and stratified by sex were calculated.</p></div><div><h3>Results</h3><p>Progressive increase in the number of virtual consultations for the study period, being Traumatology, Neurology, Urology, General Surgery and Dermatology the specialties that received the most. The standardized rates by age and stratified by sex were higher in women and the Health Areas of Huesca, Calatayud and Alcañiz. The request was higher in 2022 and the specialized referral was the main type of response. Regarding variables of the patients treated, virtual consultations were requested more in urban and less dispersed areas, women, patients with lower adjusted morbidity and with free pharmacy, pensioners and active users with income less than €18,000/year.</p></div><div><h3>Conclusions</h3><p>Despite the rise of telemedicine and its potential advantages, it is necessary to adapt it to the needs of the local population, to mitigate inequalities in access, and to integrate it with face-to-face care.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142088851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Edemas periféricos inducidos por cápsulas en formulación magistral 胶囊剂引起的外周水肿

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-08-27 DOI: 10.1016/j.semerg.2024.102281

C. Albaladejo Blanco, P. Broto Escapa

引用次数: 0

Opportunities of digital health in primary care 数字医疗在初级保健中的机遇

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-08-27 DOI: 10.1016/j.semerg.2024.102275

R. Cobos-Campos , A. Sáez de Lafuente , I. Pérez-Llanos

引用次数: 0

Características de los nuevos médicos internos residentes de la comunidad de Madrid, sus opiniones sobre medicina familiar y comunitaria [马德里大区新任内科住院医师的特点及其对家庭和社区医学的看法]。

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-07-24 DOI: 10.1016/j.semerg.2024.102295

S. Cotobal Rodeles , F.J. Martín Sánchez , M. Martínez-Selles

{"title":"Características de los nuevos médicos internos residentes de la comunidad de Madrid, sus opiniones sobre medicina familiar y comunitaria","authors":"S. Cotobal Rodeles , F.J. Martín Sánchez , M. Martínez-Selles","doi":"10.1016/j.semerg.2024.102295","DOIUrl":"10.1016/j.semerg.2024.102295","url":null,"abstract":"<div><h3>Aim</h3><p>To evaluate the opinions of the new internal resident physicians (IRP) on family and community medicine (FCM) and professional and personal issues.</p></div><div><h3>Methods</h3><p>Anonymous survey of 837 new IRPs in the Madrid Region.</p></div><div><h3>Results</h3><p>Mean age was 25.6±3.5 years, 525 (62.7%) had a specific subject of FCM during medical school, 799 (95.5%) did FCM practices during their medical degree, and 606 (72.4%) considered relevant to be some months in FCM during their medical residence. Only 103 (12.3%) consider becoming parents during residency, 416 (49.7%) have suffered from anxiety, 99 (11.8%) from depression, and 19 (2.3%) had previous suicidal thoughts. Although 638 (76.2%) have received training in ethical decisions, 345 (41.2%) did not know how to implement these decisions, 120 (14.3%) had studied artificial intelligence and 744 (88.9%) have a positive view of the College of Physicians.</p></div><div><h3>Conclusión</h3><p>Most new medical residents of Madrid consider a Primary Care rotation relevant during their training, but only 63% have completed specific training in FCM as an undergraduate. A total of 12% reported previous depression and half anxiety.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID persistente: un desafío bioético para el médico de familia [持续性 COVID：家庭医生面临的生物伦理挑战]。

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-07-24 DOI: 10.1016/j.semerg.2024.102294

M.C. de Diego Castell , F.J. Resa López

引用次数: 0

Documento de consenso internacional sobre la integridad de los ensayos clínicos 临床试验完整性国际共识文件

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-07-11 DOI: 10.1016/j.semerg.2024.102217

Grupo de Consenso de El Cairo sobre la Integridad de la Investigación

{"title":"Documento de consenso internacional sobre la integridad de los ensayos clínicos","authors":"Grupo de Consenso de El Cairo sobre la Integridad de la Investigación","doi":"10.1016/j.semerg.2024.102217","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102217","url":null,"abstract":"<div><h3>Background</h3><p>Science integrity initiatives require specific recommendations for randomised clinical trials (RCT).</p></div><div><h3>Objective</h3><p>To prepare a set of statements for RCT integrity through an international multi-stakeholder consensus.</p></div><div><h3>Methods</h3><p>The consensus was developed via multi-country multidisciplinary stakeholder group composition and engagement; evidence synthesis of 55 systematic reviews concerning RCT integrity; anonymised two-round modified Delphi survey with consensus threshold based on the average percent of majority opinions; and, a final consensus development meeting.</p></div><div><h3>Results</h3><p>There were 30 stakeholders representing 15 countries from 5 continents including trialists, ethicists, methodologists, statisticians, consumer representative, industry representative, systematic reviewers, funding body panel members, regulatory experts, authors, journal editors, peer-reviewers and advisors for resolving integrity concerns. Delphi survey response rate was 86.7% (26/30 stakeholders). There were 111 statements (73 stakeholder-provided, 46 systematic review-generated, 8 supported by both) in the initial long list, with 8 additional statements provided during the consensus rounds. Through consensus the final set consolidated 81 statements (49 stakeholder-provided, 41 systematic review-generated, 9 supported by both). The entire RCT life cycle was covered by the set of statements including general aspects (n=6), design and approval (n=11), conduct and monitoring (n=19), reporting of protocols and findings (n=20), post-publication concerns (n=12), and future research and development (n=13).</p></div><div><h3>Conclusion</h3><p>Implementation of this multi-stakeholder consensus statement is expected to enhance RCT integrity.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141595655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alergia a la penicilina: una etiqueta que no es para siempre [青霉素过敏：不是永远的标签]。

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2024-06-26 DOI: 10.1016/j.semerg.2024.102280

Á. Morales Martínez

引用次数: 0