Medicina de Familia-SEMERGEN最新文献

{"title":"Limitaciones, controversias y desafíos de las guías de práctica clínica sobre el manejo farmacológico del dolor neuropático","authors":"A. Alcántara Montero , P.J. Ibor Vidal","doi":"10.1016/j.semerg.2024.102276","DOIUrl":"10.1016/j.semerg.2024.102276","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421864","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":"Epidemiological evolution and economic impact of the COVID-19 pandemic in the European Union and worldwide and effects of control strategies on them: An ecological study","authors":"J.A. Caylà ,&nbsp;J.M. Bellmunt ,&nbsp;J.M. Jansà ,&nbsp;A. Marco ,&nbsp;J.P. Millet","doi":"10.1016/j.semerg.2024.102274","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102274","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the epidemiological evolution and economic impact of COVID-19 pandemic in the European Union (EU) and worldwide, and the effects of control strategies on them.</p></div><div><h3>Material and methods</h3><p>We collected incidence, mortality, and gross domestic product (GDP) data between the first quarter of 2020 and of 2023. Then, we reviewed the effectiveness of the mitigation and zero-COVID control strategies. The statistical analysis was done calculating the incidence rate ratio (IRR) of two rates and its 95% confidence interval (CI).</p></div><div><h3>Results</h3><p>In the EU, COVID-19 presented six epidemic waves. The sixth one at the beginning of 2022 was the biggest. Globally, the biggest wave occurred at the beginning of 2023. Highest mortality rates were observed in the EU during 2020–2021 and globally at the beginning of 2021. In mitigation countries, mortality was much higher than in zero-COVID countries (IRR<!--> <!-->=<!--> <!-->6.82 [95% CI: 6.14–7.60]; <em>p</em> <!-->&lt;<!--> <!-->0.001). A GDP reduction was observed worldwide, except in Asia. None of the eight zero-COVID countries presented a GDP growth percentage lower than the EU percentage in 2020, and 3/8 in 2022 (<em>p</em> <!-->=<!--> <!-->0.054). COVID-19 pandemic caused epidemic waves with high mortality rates and a negative impact on GDP.</p></div><div><h3>Conclusion</h3><p>The zero-COVID strategy was more effective in avoiding mortality and potentially had a lower impact on GDP in the first pandemic year.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141303955","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":"Farmacogenética en atención primaria: una herramienta para prevenir reacciones adversas a medicamentos","authors":"S. Capilla Díaz ,&nbsp;E.J. Gamero de Luna","doi":"10.1016/j.semerg.2024.102273","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102273","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141303079","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":"Prevalence of suspected abuse of non-institutionalized older people treated in primary care. PRESENCIA study","authors":"F.J. Alonso-Moreno ,&nbsp;J.L. Llisterri Caro ,&nbsp;M.C. Martínez Altarriba ,&nbsp;A. Segura-Fragoso ,&nbsp;V. Martín-Sánchez ,&nbsp;S. Miravet Jiménez ,&nbsp;S. Velilla Zancada ,&nbsp;F.V. Martínez García ,&nbsp;R.M. Micó Pérez ,&nbsp;S. Cinza Sanjurjo ,&nbsp;B. Sánchez Sánchez ,&nbsp;representing the Scientific Committee and the investigators of the PRESENCIA study","doi":"10.1016/j.semerg.2024.102263","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102263","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine the prevalence of suspected abuse of non-institutionalised elderly people and the associated variables.</p></div><div><h3>Patients and method</h3><p>Observational, descriptive, cross-sectional, multicentre study in patients aged 65 years or older, non-institutionalised, consecutively selected in primary care (PC). The EASI questionnaires (Suspected Elderly Abuse Index), the EAI questionnaire (Suspected Abuse Index in patients with cognitive impairment), the Barthel index, and the EUROQOL-5D questionnaire were used with patients, and the CASE questionnaire and the Zarit test were used with caregivers. Socio-demographic, health, and quality of life variables were analysed in all patients.</p></div><div><h3>Results</h3><p>Eight hundred four patients were included, mean age 78.9<!--> <!-->±<!--> <!-->7.9 years, 58.3% women. The prevalence of suspected abuse was 11.3% (95% CI: 9.1%–13.9%). Suspected abuse was more frequent in women than in men (14.4% vs. 7.1%; odds ratio (OR)<!--> <!-->=<!--> <!-->1.97; 95% CI<!--> <!-->=<!--> <!-->1.1–3.4; <em>p</em> <!-->=<!--> <!-->0.016) and in those who lived with two or more people compared to those who lived alone (18.4% vs. 7.3%; OR<!--> <!-->=<!--> <!-->2.42; 95% CI<!--> <!-->=<!--> <!-->1.1–5.0; <em>p</em> <!-->=<!--> <!-->0.017).</p><p>Among older patients, the lower their dependency, the lower the prevalence of suspected abuse (30.0% in highly dependent vs. 8.7% in non-dependent: <em>p</em>-trend<!--> <!-->=<!--> <!-->0.006); and the better the perceived health status, the lower the prevalence of suspected abuse (29.6% in poor health status vs. 6.9% in optimal health status; <em>p</em>-trend<!--> <!-->=<!--> <!-->&lt;0.001).</p><p>Among caregivers, the prevalence of suspected abuse was 20.4% (95% CI<!--> <!-->=<!--> <!-->12.8%–28.0%). A trend of higher prevalence of suspected abuse could be observed with higher scores on the CASE questionnaire (56.3% at high risk and 9.6% with no risk of abuse; <em>p</em>-trend<!--> <!-->=<!--> <!-->0.007). In the case of the ZARIT questionnaire with scores below 47, the prevalence of suspected abuse was 9.1%, and for scores above 55, it was 52.6% (<em>p</em>-trend<!--> <!-->&lt;<!--> <!-->0.001).</p></div><div><h3>Conclusions</h3><p>The results of the PRESENCIA study show that approximately 1 in 10 patients aged ≥65 meet the criteria for suspected abuse. The probability of abuse increases in women, in patients with greater dependency and in patients with poorer perceived health status. Caregivers with greater overload and greater risk presented a greater suspicion of elder abuse.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243057","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":"The impact of loneliness on mental and physical health outcomes: An umbrella review","authors":"V. Gasull-Molinera ,&nbsp;K.S. Khan ,&nbsp;M. Núñez Núñez ,&nbsp;M. Kouiti","doi":"10.1016/j.semerg.2024.102261","DOIUrl":"10.1016/j.semerg.2024.102261","url":null,"abstract":"<div><p>Loneliness and related constructs associated with isolation are public health problems with increasing prevalence. The aim of this umbrella was to collate and grade evidence analyzing actual and subjective loneliness as a health risk factor.</p><p>Following prospective registration, a systematic search was conducted in Pubmed, Embase, Scopus, Web of Sciences, psycoINFO and Cochrane Library until August 2023. Systematic reviews assessing the association between actual and subjective loneliness with adverse health outcomes were selected. Risk of bias was evaluated using AMSTAR-2 tool. Data were tabulated and synthesis was narrative.</p><p>A total of 13 systematic reviews was selected (four included meta-analysis). The methodological quality was critically low in 10 reviews (76.92%) and low in 3 (23.08%). Results showed that loneliness was related to poor well-being and increase the risk of negative mental and physical health. The available data suggested but did not allow the confirmation of a causal association.</p><p>Most constructs of loneliness seem to be related to mental and physical health conditions. A preventive strategy ought to be recommended, especially for vulnerable populations.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201250","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":"Maltrato y abuso a las personas mayores: un reto para todos los profesionales sanitarios","authors":"M. Lázaro del Nogal ,&nbsp;C. Fernández Alonso","doi":"10.1016/j.semerg.2024.102262","DOIUrl":"10.1016/j.semerg.2024.102262","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201243","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":"Situación actual del fentanilo en España","authors":"A. Alcántara Montero ,&nbsp;S.R. Pacheco de Vasconcelos ,&nbsp;A. Castro Arias","doi":"10.1016/j.semerg.2024.102255","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102255","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140918830","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":"Infección urogenital por Neisseria meningitidis","authors":"L. Andrés Eslava ,&nbsp;C. Carrasco Marco ,&nbsp;J.L. Ramos Martí ,&nbsp;B. Ponce Buj ,&nbsp;C. Gimeno Cardona","doi":"10.1016/j.semerg.2024.102215","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102215","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140547152","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":"Estudio bibliométrico y análisis de redes de citación de los screening visuales en atención primaria","authors":"R. Coca-Serrano ,&nbsp;M.A. Sánchez-Tena ,&nbsp;C. Álvarez-Peregrina ,&nbsp;C. Martínez-Pérez ,&nbsp;M. Moriche-Carretero","doi":"10.1016/j.semerg.2024.102225","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102225","url":null,"abstract":"<div><h3>Aim</h3><p>Screenings make it possible to detect anomalies that can be treated and identify patients who require referral to a specialist. The objective is to identify the different areas of research and determine the most cited publications on screening in primary care.</p></div><div><h3>Methods</h3><p>An analysis of publications and visualization of citation networks has been carried out using the Citation Network Explorer software. The bibliographic search was carried out with the Web of Science (WOS) database using the search term: “screening AND (vision OR eye OR ocular OR visual)”.</p></div><div><h3>Results</h3><p>We analyzed 16707 publications in all fields, 23919 citation networks have been found. The number of publications has increased, with 2021 being the year with the highest number. The majority are scientific articles and the predominant language is English.</p><p>The most cited article is a global meta-analysis on the prevalence of glaucoma, showing the importance of screening for its early detection since it is essential to avoid blindness.</p><p>Using the clustering function we found 8 groups with a significant number of publications where we have bibliography on certain eye diseases: glaucoma, diabetic retinopathy, pediatric amblyopia, keratoconus and dry eye.</p></div><div><h3>Conclusions</h3><p>The main areas of study in relation to screening are the detection of diseases such as glaucoma, retinopathy of prematurity, keratoconus and dry eye. As well as the detection through visual analysis of childhood amblyopia and vision loss in elderly patients. It also gives importance to performing ocular motility tests in problems of acquired brain damage.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140539668","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":"Avanzando hacia un consenso en la definición y medida de la adherencia a la medicación: la taxonomía ABC en español","authors":"S. Malo ,&nbsp;V. García-Cárdenas","doi":"10.1016/j.semerg.2024.102226","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102226","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140341572","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}