Medicina de Familia-SEMERGEN最新文献

{"title":"Desmitificando el diagnóstico de las ITS: una mirada crítica desde una perspectiva de género; ¿existe discriminación o prejuicios?","authors":"H. Bermúdez Marval, C. García Bertolín, A. Rojas Díaz, T. Arroyo Serrano, M. Linares Rufo","doi":"10.1016/j.semerg.2025.102551","DOIUrl":"10.1016/j.semerg.2025.102551","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 7","pages":"Article 102551"},"PeriodicalIF":0.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513498","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":"DoxyPEP: un enfoque innovador en la prevención de enfermedades de transmisión sexual desde la atención primaria","authors":"D. García Elices, J. Dominguez Sanchez, M. Roman Garrido","doi":"10.1016/j.semerg.2025.102545","DOIUrl":"10.1016/j.semerg.2025.102545","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102545"},"PeriodicalIF":0.9,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490961","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":"La conferencia de Alma-Ata como final de un proceso histórico (1815-1979)","authors":"R. Moreno-Pérez de Tudela ,&nbsp;H. Romero-Ramos ,&nbsp;L. Cayuela-Rodríguez ,&nbsp;I. Gabaldón-Rodríguez ,&nbsp;A. Cayuela-Domínguez ,&nbsp;M. Ortega-Calvo","doi":"10.1016/j.semerg.2025.102535","DOIUrl":"10.1016/j.semerg.2025.102535","url":null,"abstract":"<div><div>From the enactment of the Apothecaries Act by the British government in 1815 until Halfdan Mahler convened the Alma-Ata conference in September 1978, a series of events took place that made up the shape and spirit of contemporary primary care. We wish to demonstrate to the reader that Alma-Ata was not a foundational phenomenon, but perhaps it was only the tip of a historical iceberg.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102535"},"PeriodicalIF":0.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298059","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":"Variables predictoras de evolución clínica de la infección por SARS-CoV-2 durante el primer semestre de pandemia en 2 áreas de salud de Extremadura","authors":"Manuel Tejero-Mas ,&nbsp;Alba Palmerín-Donoso ,&nbsp;José Antonio Morales-Gabardino ,&nbsp;María José Gamero-Samino ,&nbsp;Leandro Fernández-Fernández ,&nbsp;Francisco Buitrago-Ramírez","doi":"10.1016/j.semerg.2025.102531","DOIUrl":"10.1016/j.semerg.2025.102531","url":null,"abstract":"<div><h3>Objective</h3><div>To identify predictive variables of unfavorable clinical evolution (hospital admission and/or death) in patients with COVID-19 during the first half of the pandemic (01-03-2020 to 31-08-2020) in two health areas of Extremadura.</div></div><div><h3>Patients and methods</h3><div>Observational, analytical and ambispective study with a two-year follow-up. Patients with incomplete clinical documentation or without confirmed diagnosis where excluded. A total of 216 patients were excluded, resulting in a final sample of 1422 patients. Clinical and sociodemographic characteristics, comorbidities, and the course of the infection were included. A multivariate analysis was performed to identify predictors of hospital emergency department (HED) visits, hospital admissions, and mortality.</div></div><div><h3>Results</h3><div>Mean age 45.6 years; 53.2% women. 14.2% of patients had an unfavorable clinical evolution and 2.0% died. Age was a predictor of HED visits, hospital admission and death. The highest odds ratio (OR) for mortality in both general population and hospitalized patients was associated with the presence of autoimmune diseases or organ transplants: OR: 9.02; 95% confidence interval (95% CI): 1.72-47.21 and OR: 8.06; 95% CI: 1.17-55.53, respectively. Predictors of HED visits included autoimmune disease or transplant, chronic obstructive pulmonary disease, and cardiovascular diseases. The referral report made by the family physician (FP) was the variable with the greatest predictive capacity for hospital admission or unfavorable outcome in the general population (OR: 44.15; 95% CI: 27.14-71.83 and OR: 43.29; 95% CI: 26.28-71.29, respectively).</div></div><div><h3>Conclusions</h3><div>The referral report to the HED by the FP was the strongest predictor of hospital admission and unfavorable outcome.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 6","pages":"Article 102531"},"PeriodicalIF":0.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253575","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":"¿Qué tengo que saber de cefaleas si soy médico de Atención Primaria?","authors":"N. Fontanillas ,&nbsp;I. Rivera ,&nbsp;P. Baz ,&nbsp;J. Pascual","doi":"10.1016/j.semerg.2025.102534","DOIUrl":"10.1016/j.semerg.2025.102534","url":null,"abstract":"<div><div>Headache is among the most invalidating diseases for daily life activities and the most frequent consultation in Primary Care (PC). In spite of this, recent studies have shown that more training is necessary in PC, both in the diagnosis and treatment of headache patients. Our aim is to review, from a practical clinical view, the management of headache in PC, as well as to mention the new options for the treatment of patients with refractory primary headaches. With that objective, we revise the red flags for the diagnosis of serious secondary headache, the tricks for the diagnosis and initial treatment of primary headache, focusing in migraine, the headache which accounts for more than two-thirds of consultations due to headache in PC.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102534"},"PeriodicalIF":0.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144255080","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":"Documento de consenso sobre la COVID-19 de la Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Situación actual. Posicionamiento de SEMERGEN en 2025: correspondencia","authors":"V.M. González-Rodríguez ,&nbsp;M.J. Hernández-Arroyo ,&nbsp;C. Rodríguez-Barrueco ,&nbsp;S. Corredera-Blanco ,&nbsp;M. Romero-Sanabria ,&nbsp;A. García-Ortiz","doi":"10.1016/j.semerg.2025.102532","DOIUrl":"10.1016/j.semerg.2025.102532","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 6","pages":"Article 102532"},"PeriodicalIF":0.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253576","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":"Tentativa de suicidio: evolución de las visitas en Urgencias de un hospital comarcal en Barcelona, estudio transversal de 2019 a 2023","authors":"J. Guil Sànchez","doi":"10.1016/j.semerg.2025.102533","DOIUrl":"10.1016/j.semerg.2025.102533","url":null,"abstract":"<div><h3>Objective</h3><div>To study the characteristics of patients who consulted in the emergency department for suicide attempts between 2019-2023 and the characteristics of the episodes.</div></div><div><h3>Material and methods</h3><div>Descriptive study from 1 January 2019 to 31 December 2023. We included demographic variables (sex, age), clinical variables (psychiatric history, psychotropic medication, substance abuse, follow-up in Mental Health, existence of previous self-harm attempt) and characteristics of the episode (mechanism, motive, destination).</div></div><div><h3>Results</h3><div>810 patients consulted, 64.6% women, mean age 39.6<!--> <!-->±<!--> <!-->18.1. They had a psychiatric history 688 (84.9%): men 228 (79.4%), women 460 (87.9%). Follow-up in Mental Health 384(47,4%): men 115 (40,1%), women 269 (51,4%). They had a previous suicide attempt 271 (33.5%): men 78 (27.2%), women 193 (36.9%). They used intoxicants 226(32.8%): men 131 (45.6%), women 135 (25.8%), alcohol 197 (87.2%), cocaine 115 (43.2%), and THC 108 (40.6%).</div><div>In 551 (68%) episodes the mechanism was drug intake. Benzodiazepines came first, 423 (76.8%), followed by antidepressants 119 (21.2%) and analgesic/NSAIDs 89 (16.1%). Ingestion of intoxicants was 185 (22.8%), 82 (28.6%) men, 103 (19.7%) women, alcohol in 148 (80%). Self-inflicted injuries were present in 88 (10.9%). There were 331 (40.9%) cases with triggers: relationship problems 115 (34.7%), family problems 106 (32%). 608(75.1%) patients were referred to Mental Health, 73(9%) were admitted to Psychiatric Units.</div></div><div><h3>Conclusions</h3><div>Consulted 810 patients between 2019-2023, an 80.8% increase in ED consultations for suicide attempts during the study period. The majority were women and had a psychiatric history. Approximately half were being followed up in Mental Health. One third had previously attempted suicide. Most were due to medication intake, mainly benzodiazepines. The main triggers were relationship and family problems. 75.1% of patients were referred to Mental Health, 9% were admitted to Psychiatric Units.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 7","pages":"Article 102533"},"PeriodicalIF":0.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144255251","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":"Granuloma piógeno","authors":"L.T. Gómez Cevallos,&nbsp;T. San Martin-De Juan,&nbsp;S. Velilla-Zancada","doi":"10.1016/j.semerg.2025.102527","DOIUrl":"10.1016/j.semerg.2025.102527","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102527"},"PeriodicalIF":0.9,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223305","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":"Trombocitopenia inmune primaria asociada a infección por virus Epstein-Barr. A propósito de un caso","authors":"B. Sánchez Galindo","doi":"10.1016/j.semerg.2025.102529","DOIUrl":"10.1016/j.semerg.2025.102529","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102529"},"PeriodicalIF":0.9,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195611","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":"Papel de la metformina en los tiempos del paciente cardiorrenometabólico","authors":"E. Arranz Martínez ,&nbsp;C. Hernández-Teixidó ,&nbsp;A. Ruíz García","doi":"10.1016/j.semerg.2025.102530","DOIUrl":"10.1016/j.semerg.2025.102530","url":null,"abstract":"<div><div>Metformin is a first-line drug in the treatment of type<!--> <!-->2 diabetes mellitus (T2DM) due to its efficacy, safety, and cost-effectiveness. Its main mechanism of action is the reduction of hepatic gluconeogenesis, improving insulin sensitivity and modulating glucose metabolism. The benefits of metformin are not limited to glycemic control, as it also has cardiovascular effects, reducing the risk of acute myocardial infarction and cardiovascular mortality in people with T2DM. Additionally, it has positive effects on lipid metabolism, metabolic dysfunction-associated liver disease, and pulmonary pathology, as well as potential effects in preventing cancer and neurodegenerative diseases. Its impact on aging and the gut microbiota remains an area of ongoing research.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 7","pages":"Article 102530"},"PeriodicalIF":0.9,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204902","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}