Medicina de Familia-SEMERGEN最新文献

{"title":"Madelung's disease: A challenging diagnosis","authors":"C. Pereira, M. Jácome, J. Gomes","doi":"10.1016/j.semerg.2024.102421","DOIUrl":"10.1016/j.semerg.2024.102421","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 4","pages":"Article 102421"},"PeriodicalIF":0.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848043","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":"Delusional parasitosis (Ekbom's syndrome)","authors":"M. Mansilla-Polo , D. Martín-Torregrosa , R. Botella-Estrada","doi":"10.1016/j.semerg.2024.102423","DOIUrl":"10.1016/j.semerg.2024.102423","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 5","pages":"Article 102423"},"PeriodicalIF":0.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848046","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":"Cancer: Fight Club?","authors":"L. Posado-Domínguez","doi":"10.1016/j.semerg.2024.102415","DOIUrl":"10.1016/j.semerg.2024.102415","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 5","pages":"Article 102415"},"PeriodicalIF":0.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848045","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":"Las voces ignoradas: integración de los pacientes en la toma de decisiones","authors":"N. Cano-Ibáñez , K.S. Khan , A. Bueno-Cavanillas","doi":"10.1016/j.semerg.2024.102416","DOIUrl":"10.1016/j.semerg.2024.102416","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 3","pages":"Article 102416"},"PeriodicalIF":0.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848038","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":"An atypical mole","authors":"M. Mansilla-Polo , V. Martínez-Cozar","doi":"10.1016/j.semerg.2024.102417","DOIUrl":"10.1016/j.semerg.2024.102417","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 4","pages":"Article 102417"},"PeriodicalIF":0.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848039","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 Parsonage-Turner en relación con la quinta enfermedad","authors":"R. Bugarín González , A.I. Docasar Barrera , S. Hernández Dorta , J.A. Villar Carballo , A. Castillo Riera","doi":"10.1016/j.semerg.2024.102426","DOIUrl":"10.1016/j.semerg.2024.102426","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 5","pages":"Article 102426"},"PeriodicalIF":0.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848044","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":"Protocolo para el manejo de la apnea obstructiva de sueño con cribado mediante el cuestionario STOP-Bang y métodos simplificados de diagnóstico por Atención Primaria en la comarca de Osona, Cataluña central (Barcelona)","authors":"C. Muñoz-Pindado ,&nbsp;R. Bonich-Juan ,&nbsp;M. Deutú-Colom ,&nbsp;P.M. Martínez-Molina ,&nbsp;L. Escabias-Santamarta ,&nbsp;X. Bartrina-Alabau ,&nbsp;J. Serra-Batlles ,&nbsp;F. Ruiz-Mori ,&nbsp;S. Balmes-Estrada ,&nbsp;C. Serra ,&nbsp;A.M. Muñoz-Fernández ,&nbsp;C. Embid ,&nbsp;M. Dalmases ,&nbsp;I. Casademunt-Codina ,&nbsp;N. Roger-Casals","doi":"10.1016/j.semerg.2024.102398","DOIUrl":"10.1016/j.semerg.2024.102398","url":null,"abstract":"<div><div>Obstructive Sleep Apnea (OSA) is a widespread disease, but usually is an underdiagnosed and undertreated public health problem. Nowadays its study is expensive. Collaboration and involvement of all specialties are necessary, also the implementation of simplified diagnostic methods to try to improve detection, increase the diagnosis and treatment ratio.</div><div>In the Osona region (Barcelona), it has been developed a protocol that defines a new care process that shortens and reduces the cost of the OSA's diagnosis process. This new care process also favors better knowledge of the pathology of OSA by all the specialists involved, resulting in an increase in community health, in addition to generating knowledge.</div><div>This new care process could be implemented in other health areas around all the country and it would improve the management of this pathology and improve national community health.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 3","pages":"Article 102398"},"PeriodicalIF":0.9,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822836","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":"Modifiable cardiovascular risk factors in children at risk of acute myocardial infarction: A comprehensive review","authors":"M. Morales-Suárez-Varela ,&nbsp;C. Torrijo Belanche ,&nbsp;M. Saez ,&nbsp;I. Peraita-Costa ,&nbsp;A. Llopis-González","doi":"10.1016/j.semerg.2024.102341","DOIUrl":"10.1016/j.semerg.2024.102341","url":null,"abstract":"<div><div>While acute myocardial infarction is rare in children, a part of the pediatric population is at a higher risk due to preexisting non-modifiable conditions. To mitigate the risk, modifiable risk factors such as unhealthy diet or sedentary lifestyle should be controlled from childhood, promoting healthy habits from the earliest stages. The primary purpose of this review is to assess the evidence on lifestyle/nutrition related modifiable risk factor intervention on the risk of acute myocardial infarction in children found in four databases, PubMed, Embase, Scopus and WoS. After screening, 29 of 272 articles assessed met the inclusion criteria. We found evidence that a healthy lifestyle, including an adequate dietary pattern and good eating habits in childhood, reduces the prevalence of acute myocardial infarction. The data retrieved from this review are consistent with the hypothesis that a healthy lifestyle might contribute lower the risk of acute myocardial infarction in at-risk children.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 2","pages":"Article 102341"},"PeriodicalIF":0.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814868","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":"Intervención médico-farmacéutica sobre pacientes expuestos a la interacción azatioprina-alopurinol en la Comunidad de Madrid","authors":"J.M. Pinar Manzanet ,&nbsp;J.M. Izquierdo Palomares ,&nbsp;E. Prieto Utiel ,&nbsp;L. Escudero Crujera ,&nbsp;M.E. Trillo Gallo ,&nbsp;I. Santaolalla García ,&nbsp;A. Blázquez Valerón ,&nbsp;B.M. Escudero Vilaplana ,&nbsp;A.I. Villimar Rodríguez ,&nbsp;M. Cortijo Caballero ,&nbsp;Á. Mataix Sanjuan ,&nbsp;J.M. San Román Montero","doi":"10.1016/j.semerg.2024.102395","DOIUrl":"10.1016/j.semerg.2024.102395","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of a medical-pharmaceutical intervention strategy on patients exposed to azathioprine-allopurinol (AZA-ALO) interaction in the Community of Madrid (CM).</div></div><div><h3>Material/methods</h3><div>Multicentre retrospective observational study. We reviewed the database generated after an intervention carried out in the healthcare context in which Primary Care Pharmacists (PCP) review the treatment of patients with safety risks and, when there are incidents, they contact (by telephone and/or e-mail) their Family Physicians (FP) for possible resolution.</div></div><div><h3>Study population</h3><div>CM patients with an active clinical history in Primary Care who have been dispensed both medications (AZA-ALO) in the period April-June 2022 according to prescription billing data from the National Health System (NHS).</div><div>Main variable: suppression or dose adjustment of either of the two drugs.</div></div><div><h3>Results</h3><div>Forty-nine patients were analysed. Mean age: 65.65<!--> <!-->±<!--> <!-->11.67 years. Males; 77.6%. 8,834 patients withdrew azathioprine (28,724 packs) and 89,297 withdrew allopurinol (141,188 packs) from pharmacies, with a very low prevalence of patients at risk (&lt;1%).</div><div>The prescription was modified in 32 patients (65.31%-IC95%: 51.98%-78.63%), with allopurinol being discontinued in 65.62% and, with regard to azathioprine, the dose was reduced by 18.75% and discontinued in 9.37%.</div><div>Analytical alterations compatible with adverse effects due to the interaction were recorded in 28 patients (57.1%-IC95%: 43.29%-71%), including anaemia (39.3%) and leukopenia/neutropenia (25%).</div></div><div><h3>Conclusions</h3><div>Coordinated intervention between pharmacists and physicians was effective, resulting in prescription modification in a significant percentage of patients, which reduced the risk of toxicity.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 3","pages":"Article 102395"},"PeriodicalIF":0.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814877","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}

{"title":"Resiliencia en niños con cáncer: un recurso para su salud mental","authors":"Mónica Regalado Chamorro ,&nbsp;Aldo Medina Gamero","doi":"10.1016/j.semerg.2024.102401","DOIUrl":"10.1016/j.semerg.2024.102401","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 3","pages":"Article 102401"},"PeriodicalIF":0.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814885","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}