Medicina de Familia-SEMERGEN最新文献

{"title":"Alergia a la penicilina: dificultades y resistencias para el desetiquetado en atención primaria","authors":"A. Bellvert Ríos , C. Albaladejo Blanco , J. Sánchez de Vicente","doi":"10.1016/j.semerg.2025.102552","DOIUrl":"10.1016/j.semerg.2025.102552","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102552"},"PeriodicalIF":0.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694872","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}

{"title":"Unas curiosas placas dianiformes en mujer de fototipo V: Trichophyton mentagrophytes genotipo VIII/ T. indotineae","authors":"J. Molina-Espinosa, P.J. Ezomo-Gervilla, R. Ruiz-Villaverde","doi":"10.1016/j.semerg.2025.102549","DOIUrl":"10.1016/j.semerg.2025.102549","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 7","pages":"Article 102549"},"PeriodicalIF":0.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696766","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}

{"title":"Estimación de grasa corporal de una población con diabetes de un área de salud mediante fórmula Clínica Universitaria de Navarra-Body Adiposity Estimator [CUN-BAE]","authors":"J.M. Iturralde-Iriso ,&nbsp;J. Guinea-Castanares ,&nbsp;I.N. Elizondo-Pinillos","doi":"10.1016/j.semerg.2025.102548","DOIUrl":"10.1016/j.semerg.2025.102548","url":null,"abstract":"<div><h3>Objective</h3><div>To perform a descriptive analysis of a population diagnosed with DM2 in Alava, to correlate the CUN-BAE and BMI formulas and to analyse the use of GLP-1 analogue.</div></div><div><h3>Materials and methods</h3><div>This is a descriptive, cross-sectional, retrospective and observational study. We included the type 2 diabetic population of Alava, over 18 years of age with BMI recorded in their clinical history in the last 2 years, the data were collected from the OBID database.</div></div><div><h3>Results</h3><div>1,3705 patients were analysed, 56.4% men and 43.6% women. The mean age was 69.18 years. Mean BMI in men was 29.12 (SD 4.79) kg/m2 and in women 29.88 (SD 6) kg/m2. The CUN-BAE in men was 32.15 (SD 5.29) and in women 44.29 (SD 5.5).</div></div><div><h3>Conclusions</h3><div>41% of the population analysed by BMI would be considered obese, while with CUN-BAE 95.2% of men and 93.2% of women would be considered obese. Further studies are needed to make a more accurate estimation with CUN-BAE in other breeds.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 7","pages":"Article 102548"},"PeriodicalIF":0.9,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678946","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}

{"title":"Methodological and reporting quality of Clinical Practice Guidelines for prenatal care on nutritional counselling in high-income countries: A systematic review","authors":"M.M. Rivas-Arquillo ,&nbsp;M.R. Román-Gálvez ,&nbsp;C. Amezcua-Prieto ,&nbsp;A. Bueno-Cavanillas ,&nbsp;K.S. Khan ,&nbsp;N. Cano-Ibáñez","doi":"10.1016/j.semerg.2025.102550","DOIUrl":"10.1016/j.semerg.2025.102550","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the methodological and reporting quality of Clinical Practice Guidelines (CPGs) for prenatal care from high-income countries (HIC) on nutritional counselling.</div></div><div><h3>Methods</h3><div>Following registration in PROSPERO (CRD42023397756), searches in PubMed, Scopus, Web of Science, and Google Scholar covered the last decade. CPGs for prenatal care from HIC with nutritional counselling, without language restriction, were selected. Data extraction and quality assessment were independently conducted in duplicate, with discrepancies resolved by a third reviewer. The methodological and reporting quality was evaluated in institutional CPGs and professional societies using the AGREE II tool (score range 22–161), while reporting quality was evaluated with RIGHT tool (score range 0–35).</div></div><div><h3>Results</h3><div>A total of 2177 citations were screened, resulting in 18 CPGs recommendations on nutritional counselling (published 2014–2024), primarily from Europe (<em>n</em> <!-->=<!--> <!-->11, 61.1%) and the USA (<em>n</em> <!-->=<!--> <!-->2, 11.1%). High-quality CPGs were 6 (33.4%) using AGREE II (Spain, Australia, UK-NICE, U.S.A.-ACOG, WHO, and Denmark) and 4 (22.2%) using RIGHT (Spain, Australia, UK-NICE, and WHO). The AGREE II and RIGHT observed score ranges were 51.5–145 and 7.5–28, respectively. Mean scores for institutional CPGs were higher than those for professional societies (AGREE 107.4<!--> <!-->±<!--> <!-->26.8 vs. 86.2<!--> <!-->±<!--> <!-->26.1, <em>p</em> <!-->=<!--> <!-->0.0218; RIGHT 19.1<!--> <!-->±<!--> <!-->6.2 vs. 14.1<!--> <!-->±<!--> <!-->6.1, <em>p</em> <!-->=<!--> <!-->0.0201). A positive correlation was observed between AGREE II and RIGHT scores (<em>r</em> <!-->=<!--> <!-->0.94).</div></div><div><h3>Conclusions</h3><div>The methodological and reporting quality of CPGs for prenatal care with nutritional counselling from HIC varied with institutional CPGs scoring significantly better than those from professional societies. These findings underscore the need for standardized development and reporting of CPGs to ensure clear, actionable, and evidence-based nutritional advice.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 7","pages":"Article 102550"},"PeriodicalIF":0.9,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678948","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}

{"title":"Respuesta a la carta al editor de González-Rodríguez y cols. sobre comentarios al «Documento de consenso sobre la COVID-19 de la Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Situación actual. Posicionamiento de SEMERGEN en 2025»","authors":"J. Cabrera Gómez ,&nbsp;A. Serrano-Cumplido ,&nbsp;V. Martín Sánchez","doi":"10.1016/j.semerg.2025.102556","DOIUrl":"10.1016/j.semerg.2025.102556","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 7","pages":"Article 102556"},"PeriodicalIF":0.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672175","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}

{"title":"Alteraciones iónicas severas asociadas al uso crónico de inhibidores de la bomba de protones: un caso clínico en Atención Primaria","authors":"J. Cuesta Miyares","doi":"10.1016/j.semerg.2025.102558","DOIUrl":"10.1016/j.semerg.2025.102558","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 6","pages":"Article 102558"},"PeriodicalIF":0.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614759","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}

{"title":"Síndrome de Ekbom, la importancia de reconocerlo","authors":"R. Moreno Moreno ,&nbsp;C. Guerrero Martínez ,&nbsp;I. Piñero del Rosario","doi":"10.1016/j.semerg.2025.102569","DOIUrl":"10.1016/j.semerg.2025.102569","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102569"},"PeriodicalIF":0.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614185","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}

{"title":"Suicidal ideation during the perinatal period: An umbrella review of prevalence and risk factors","authors":"R.A. Peinado-Molina ,&nbsp;A. Ballesta-Castillejos ,&nbsp;J.M. Martinez-Galiano ,&nbsp;N. Cano-Ibáñez ,&nbsp;K.S. Khan ,&nbsp;S. Martínez-Vazquez","doi":"10.1016/j.semerg.2025.102567","DOIUrl":"10.1016/j.semerg.2025.102567","url":null,"abstract":"<div><div>The perinatal period involves significant psychological changes that increase women's vulnerability to mental health disorders, including suicidal ideation. This umbrella review, registered in PROSPERO (CRD42024596880), aimed to synthesize evidence on the prevalence of suicidal ideation during this period and its associated risk factors. A search was conducted up to November 2024. Systematic reviews focusing on suicidal ideation and attempts during the perinatal period were included. Methodological quality was assessed using the AMSTAR-2 tool, and overlap was measured using the Corrected Covered Area (8.31%). Ten reviews were analyzed. Prevalence of suicidal ideation ranged from 7.2% to 12%, and suicide attempts from 4% to 5.1%. Common risk factors included poor sleep quality, intimate partner violence, low socioeconomic status, prior mental health disorders, and limited social support. Standardized screening and targeted interventions are important for improving maternal mental health outcomes.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 7","pages":"Article 102567"},"PeriodicalIF":0.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144623432","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}

{"title":"Grado de satisfacción de infiltraciones articulares en atención primaria","authors":"R. Damián-García ,&nbsp;A. Relaño-Mesa ,&nbsp;E. Martín-Riobóo","doi":"10.1016/j.semerg.2025.102554","DOIUrl":"10.1016/j.semerg.2025.102554","url":null,"abstract":"<div><h3>Objective</h3><div>The main objective of this study is to evaluate the level of patient satisfaction after joint injections with corticosteroids and local anesthetics in Primary Care (PC). Secondarily, we pretend to analyze the sociodemographic characteristics of the sample, the frequency of injected joints, adverse effects, analgesia used at least 30<!--> <!-->days, the imaging tests performed, and the primary diagnoses leading to injections.</div></div><div><h3>Material and methods</h3><div>Observational, descriptive, longitudinal, and prospective study. The estimated sample size was 64 subjects. Absolute values and frequencies were calculated for qualitative variables (sociodemographic variables, anatomical regions infiltrated, additional tests, analgesia used at least 30<!--> <!-->days, adverse effects, level of satisfaction four weeks after the procedure, and the possibility of re-infiltration if pain in the same or a different anatomical area occurs), as well as means and standard deviations for quantitative variables (sociodemographic variables). To determine the level of pain in the anatomical region to be infiltrated, a verbal numeric rating scale (VRNS) was used before the procedure, as well as two and four weeks afterward. Patient satisfaction was determined using an ad hoc scale with five possible options (none, minimal, acceptable, high, very high) four weeks after the procedure.</div></div><div><h3>Results</h3><div>The satisfaction with the procedure in this study was very high (53.8%) or high (24.6%). 90.8% of patients indicated they would repeat local injections with local anesthetic and corticosteroids again. If they needed to repeat any injection again, 86.2% would do it in primary care. The knee was injected in 41.5% of cases, and in 36.9% of cases, for the diagnosis of gonarthrosis.</div></div><div><h3>Conclusion</h3><div>Pain in the affected region decreased from severe to mild one month after the procedure, resulting in a very high level of satisfaction. The high level of patient satisfaction with this health program justifies its use at primary care centers.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102554"},"PeriodicalIF":0.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614184","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}

{"title":"Cocaine-induced plasma cell orificial dermatomucositis","authors":"M. Mansilla-Polo ,&nbsp;F. Reyes-Albaladejo ,&nbsp;R. Botella-Estrada","doi":"10.1016/j.semerg.2025.102557","DOIUrl":"10.1016/j.semerg.2025.102557","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102557"},"PeriodicalIF":0.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614186","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}