Medicina de Familia-SEMERGEN最新文献_第2页

Uso de la capsaicina tópica en enfermedad dolorosa: revisión de indicaciones basadas en la evidencia [使用局部辣椒素治疗疼痛：回顾与循证适应症]。

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102312

R. Mora-Boga

引用次数: 0

Primer caso descrito en la literatura mundial de paciente con trombastenia de Glanzmann intervenido de catarata subcapsular posterior en el ojo izquierdo [世界文献中描述的首例格兰兹曼血栓性白内障患者接受左眼后囊下白内障手术的病例]。

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102315

F.J. Suárez-Guzmán

引用次数: 0

Estrategia de detección precoz de hepatitis víricas en pacientes con solicitud de perfil bioquímico hepático e hipertransaminasemia [对要求进行肝脏生化检查和高转氨酶血症患者进行病毒性肝炎早期检测的策略]。

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102339

P. Tajada Alegre , V. Villalta Robles , L. Gómez-Chacón Galán , D. Monge Monge , M. Álvarez González , B. Heredia Gálvez , M. Calvo Sánchez , L. Herrera García , M.R. Caro Narros , L. Salinas-Ortega , A. Casado Gómez , M.A. Casado

{"title":"Estrategia de detección precoz de hepatitis víricas en pacientes con solicitud de perfil bioquímico hepático e hipertransaminasemia","authors":"P. Tajada Alegre , V. Villalta Robles , L. Gómez-Chacón Galán , D. Monge Monge , M. Álvarez González , B. Heredia Gálvez , M. Calvo Sánchez , L. Herrera García , M.R. Caro Narros , L. Salinas-Ortega , A. Casado Gómez , M.A. Casado","doi":"10.1016/j.semerg.2024.102339","DOIUrl":"10.1016/j.semerg.2024.102339","url":null,"abstract":"<div><h3>Objective</h3><div>Undiagnosed viral hepatitis is an impediment to the elimination of viral hepatitis. Clinical Practice Guidelines (CPG) recommend screening in patients with hypertransaminasemia. The aim of the study was to evaluate the early detection of viral hepatitisB andC established in our health area in this population group.</div></div><div><h3>Methods</h3><div>Prospective observational study over a period of 28months (February 2021-May 2023) of all patients with a request for a liver biochemical profile in whom hypertransaminasemia was detected and who met the inclusion criteria for early detection of viral hepatitis. In these patients, a one-step comprehensive diagnosis of viral hepatitis was performed. A preferential care circuit was established for the selected patients with active infection with a specialist in hepatology for linkage, evaluation and prescription, if appropriate, of antiviral treatment.</div></div><div><h3>Results</h3><div>Of the 2,058 patients selected, 148 patients (7.2%) tested positive for previously undiagnosed viral infection: 121 for hepatitisB virus (HBV) and 27 for hepatitisC virus (HCV). Of the 11 patients with chronic HBV infection, 10 had active HBV infection, of whom 3 had treatment indications. Of the patients with positive HCV serology, 77.8% were viremic and all were treated with sustained viral response (SVR).</div></div><div><h3>Conclusions</h3><div>Implementation of this strategy has identified and treated an appreciable number of undiagnosed HBV and HCV infections with impact at the individual and community level.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 1","pages":"Article 102339"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677781","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

Carga de la enfermedad por VIH/sida en los departamentos de Colombia, 2018-2022 [2018-2022年哥伦比亚各省艾滋病毒/艾滋病造成的疾病负担]。

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102335

O.A. Gutierrez-Lesmes , J. Martínez-Torres , L.I. Plata Casas

{"title":"Carga de la enfermedad por VIH/sida en los departamentos de Colombia, 2018-2022","authors":"O.A. Gutierrez-Lesmes , J. Martínez-Torres , L.I. Plata Casas","doi":"10.1016/j.semerg.2024.102335","DOIUrl":"10.1016/j.semerg.2024.102335","url":null,"abstract":"<div><h3>Introduction</h3><div>HIV/AIDS is a disease that continues to be a threat to public health.</div></div><div><h3>Objective</h3><div>Estimate the burden of disease generated by HIV/AIDS in the departments of Colombia, 2018 - 2022.</div></div><div><h3>Methodology</h3><div>Disease burden study, based on the metrics of global health estimates from the World Health Organization. State morbidity and mortality databases were used.</div></div><div><h3>Results</h3><div>The departments of Colombia lost 1051,599 (II 95% 849,217.41-1,253,980) DALYs due to HIV/AIDS. When classifying the departments by DALYs rates per 100,000 inhabitants, the differences in the burden in the departments become visible, departments, with rates in the study period, ranging from 4029.8 (3274.4-4785.2) DALYs, in the case of the department of Quindío and 297.2 (103.9-490.5) DALYs in the department of Vichada, men lost on average 23,833.48 (II 95% 13813-35809), while women lost 8,033 (II95% 5214-11177), 75% of DALYs in men occur between 20 and 49 years, in women 71.4% in the same age group.</div></div><div><h3>Conclusions</h3><div>There are differences in the loss of years of healthy life between the departments of Colombia, and annual variations in each department.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 1","pages":"Article 102335"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677702","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

Alteraciones en la ecogenicidad testicular asociadas al síndrome de hipogonadismo de inicio tardío del varón [与睾丸回声改变有关的晚发性性腺功能减退综合征]。

IF 0.9

Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102338

J. Monllor Méndez , J. Carballido Rodríguez , J. González-Spinola San Gil , A. Monllor Méndez

{"title":"Alteraciones en la ecogenicidad testicular asociadas al síndrome de hipogonadismo de inicio tardío del varón","authors":"J. Monllor Méndez , J. Carballido Rodríguez , J. González-Spinola San Gil , A. Monllor Méndez","doi":"10.1016/j.semerg.2024.102338","DOIUrl":"10.1016/j.semerg.2024.102338","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to investigate the relationship between the presence of late-onset hypogonadism (LOH) syndrome in men and alterations in testicular echogenicity in a rural population sample.</div></div><div><h3>Materials and methods</h3><div>Prospective observational cohort study in which men between 45 and 75 years old from Villarta de San Juan area (Ciudad Real) were included. In order to determine the incidence of HIT, each patient was administered the AMSS test, a blood test to determine the concentration of testosterone, and a bilateral testicular ultrasound was performed.</div></div><div><h3>Results</h3><div>287 patients were included in the study. The diagnosis of LOH syndrome was established in 9.76% of them. 154 bilateral testicular ultrasounds were performed in which their testicular echogenicity patterns were evaluated. In 72.7% of the cases, alterations could be described in accordance with the standards proposed by the European Academy of Andrology of the year 2022. Testicular echogenicity evaluated by ultrasound demonstrated a sensitivity of 72.7%, a specificity of 78.8%, a negative predictive value of 94.5% and a positive predictive value of 36.4%, for the diagnosis of LOH.</div></div><div><h3>Conclusions</h3><div>The determination of testicular echogenicity in patients with suspected LOH syndrome showed much greater specificity than the AMSS test and a similar negative predictive value. Based on its innocuousness and the fact that it is a relatively simple examination from a technical point of view, it could be postulated as a diagnostic tool to be taken into account in the identification of this syndrome.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 1","pages":"Article 102338"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677773","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

Necrosis aséptica de hombros y caderas simulando una polimialgia reumática [模拟多发性风湿性关节炎的肩部和髋部无菌性坏死]。

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Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102313

E. Cañadillas Sánchez, E.M. Oliver García, C.A. Peralta Ginés, M.C. Osorio Sanjuan, P. del Río Martínez

引用次数: 0

Diagnóstico de la hipertensión durante el embarazo y preeclampsia, los límites del control y tratamiento [妊娠期高血压和子痫前期的诊断、控制和治疗的限度]。

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Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102330

M.A. María-Tablado

引用次数: 0

Nuevas competencias emergentes para el médico de familia [家庭医生的新能力]。

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Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102329

M. Algaba Montes , A.Á. Oviedo García , C. Montero Peña

引用次数: 0

Sintomatología esofágica como síntoma guía de tuberculosis ganglionar [食道症状是淋巴结结核的主要症状]。

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Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102314

P. Pérez Solís, B.N. Brizzi

引用次数: 0

Revisión del ejercicio físico como tratamiento de la lumbalgia en la mujer embarazada [回顾体育锻炼对孕妇腰背痛的治疗]。

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Medicina de Familia-SEMERGEN Pub Date : 2025-01-01 DOI: 10.1016/j.semerg.2024.102340

L.M. Gallo-Galán , J.L. Gallo-Vallejo , J. Mozas-Moreno

引用次数: 0