M.A. Lasheras-Pérez, R. Palacios-Díaz, M. Pozuelo-Ruiz, M. Rodríguez-Serna
{"title":"La eutanasia en el régimen penitenciario español","authors":"M.A. Lasheras-Pérez, R. Palacios-Díaz, M. Pozuelo-Ruiz, M. Rodríguez-Serna","doi":"10.1016/j.semerg.2024.102219","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102219","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328257","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":"Evaluación de la asistencia sanitaria del paciente con diabetes en atención primaria: una revisión sistemática","authors":"F.M. Escandell-Rico , L. Pérez-Fernández","doi":"10.1016/j.semerg.2024.102214","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102214","url":null,"abstract":"<div><h3>Objective</h3><p>Have the most current evidence in relation to the evaluation of medical healthcare for patients with diabetes in primary care.</p></div><div><h3>Method</h3><p>During the review process, we followed the recommendations to improve the publication of systematic reviews and meta-analyses and the preferred reporting points for PRISMA systematic reviews. The bibliographic search was carried out in Cumulative Index to Nursing and Allied Health Literature (CINAHL), SCOPUS, Scielo, MedLine<!--> <!-->/ PubMed, Cochrane databases and in the Google Scholar search engine, with free and controlled language, using the MeSh search terms: «Physicians, Primary Care», «Diabetes Mellitus, Type<!--> <!-->2». Eight selected articles were analyzed. The articles were selected based on their relevance, published in peer-reviewed academic journals and published between 2019 and 2023.</p></div><div><h3>Results</h3><p>The main study tool represents interventions in knowledge and practice about the care of patients with diabetes among primary care physicians. The most important discussion topics extracted in the analyzed articles refer to knowledge, clinical inertia, patients’ housing challenges, adherence intervention programs, and a self-care application for patients with diabetes.</p></div><div><h3>Conclusions</h3><p>The findings of this study indicate the need to improve medical health care through knowledge, attitudes and practices in primary care regarding patients with diabetes. In this way, it could be considered a useful tool to promote medical healthcare in primary care.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328258","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 Medicina de Familia y la elección de la especialidad tras el MIR. No todo es tan negro como parece","authors":"S. Cinza-Sanjurjo , M. Portela-Romero","doi":"10.1016/j.semerg.2024.102216","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102216","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327852","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}
José Pedro Fernández Vázquez , Adalberto Serrano-Cumplido
{"title":"Pandemia COVID-19. Prueba de estrés para los sistemas sanitarios o la oportunidad de reflotar la Atención Primaria","authors":"José Pedro Fernández Vázquez , Adalberto Serrano-Cumplido","doi":"10.1016/j.semerg.2024.102218","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102218","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140309265","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}
M.P. Torres Moreno , R. Blanco Herrera , L. Vegas Fernández , J.J. Alfaro Martínez
{"title":"Elección de Medicina Familiar y Comunitaria en el MIR 2002-2023: un enfoque objetivo muestra que es una especialidad tan valorada como las hospitalarias","authors":"M.P. Torres Moreno , R. Blanco Herrera , L. Vegas Fernández , J.J. Alfaro Martínez","doi":"10.1016/j.semerg.2024.102198","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102198","url":null,"abstract":"<div><h3>Introduction</h3><p>Currently there is a shortage of general practitioners (GP), and this is expected to increase in the coming years. Despite this need, it is a specialty that is supposedly little demanded, leaving specialized training places unfilled in recent years. The purpose of this study is to present new parameters to more objectively measure the demand and the relationship between supply and demand.</p></div><div><h3>Methods</h3><p>A database was used with the results of the places assigned in the MIR calls from 2002 to 2023. The calculated parameters were quoting index (CI), quote order, the order of top demand and the order of total demand of the GP specialty. The software R version 4.3.02 was used for statistical analysis.</p></div><div><h3>Results</h3><p>The specialty quotation and top demand have remained constant during the study period, while there has been a slight and progressive worsening of the total demand. Nevertheless, the total demand for Family Medicine in the last call for MIR exam was higher than that for specialties such as urology, neurology, ENT, endocrinology, oncology, intensive care medicine or neurosurgery, among others.</p></div><div><h3>Conclusions</h3><p>In contrast to the subjective perception of the worsening attractiveness Family Medicine in the last MIR calls, using objective parameters, we found that the attractiveness of the specialty, measured as quotation (supply/demand ratio) and demand, has remained stable (with a slight worsening of total demand).</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140162330","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}
Y. Tung-Chen , L. Platero-Dueñas , J. Otero-González
{"title":"The rapid access to sonographic diagnosis of fecal impaction: Description of a case with fatal outcome","authors":"Y. Tung-Chen , L. Platero-Dueñas , J. Otero-González","doi":"10.1016/j.semerg.2024.102194","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102194","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140134150","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}
E. Oliver García , J. Yáñez Merino , V. Mallén Gracia , I. Sebastian Sánchez , E. Cañadillas Sánchez
{"title":"¿Cuándo hay que tratar el herpes ocular con corticoides? A propósito de un caso","authors":"E. Oliver García , J. Yáñez Merino , V. Mallén Gracia , I. Sebastian Sánchez , E. Cañadillas Sánchez","doi":"10.1016/j.semerg.2023.102181","DOIUrl":"https://doi.org/10.1016/j.semerg.2023.102181","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133872","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}
G. Rodríguez Parejo , M. Carmona González , C. Montero-Peña , D. Murillo García
{"title":"Valoración del recuento sanguíneo de eosinófilos en la patología respiratoria desde atención primaria","authors":"G. Rodríguez Parejo , M. Carmona González , C. Montero-Peña , D. Murillo García","doi":"10.1016/j.semerg.2024.102193","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102193","url":null,"abstract":"<div><p>Most physicians in general, and family physicians in particular, are familiar with certain parameters when ordering a hematological study, such as hemoglobin (including hematocrit and its features), leukocytes (including lymphocytes) and platelets. Nevertheless, there are two values that we use to overlook which are eosinophils and basophils. Specifically, eosinophils have a tendency to increase with allergic pathology.</p><p>This article focuses on this type of cells, helping to interpret the values obtained and highlighting their importance in two of the most frequent respiratory pathologies in primary care: asthma and COPD. In addition to observing how the increase or normality of these parameters condition the diagnosis, phenotype and even the treatment.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121923","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}
B. Juhász , K.S. Khan , N. Cano-Ibáñez , A. Bueno-Cavanillas , J.M. Triviño-Juárez
{"title":"Prevalence of elder abuse in the community and care settings: An umbrella review","authors":"B. Juhász , K.S. Khan , N. Cano-Ibáñez , A. Bueno-Cavanillas , J.M. Triviño-Juárez","doi":"10.1016/j.semerg.2024.102209","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102209","url":null,"abstract":"<div><h3>Objective</h3><p>Elder abuse, an important human rights issue and public health problem, contributes to increased disability and mortality. In the last decades, several reviews have synthesized primary studies to determine its prevalence. This umbrella review aimed to estimate the worldwide overall prevalence rate of elder abuse in the community and care setting.</p></div><div><h3>Methods</h3><p>Following prospective registration at PROSPERO (CRD42021281866) we conducted a search of eight electronic databases to identify systematic reviews from inception until 17 January 2023. The corrected covered area was calculated to estimate the potential overlap of primary studies between reviews. The quality of the selected reviews was assessed using a modified AMSTAR-2 instrument. We extracted data on the prevalence of any type of elder (people aged 60 years old or older) abuse in the community and care setting.</p></div><div><h3>Results</h3><p>There were 16 systematic reviews retrieved between 2007 and 2022, out of which ten captured prevalence globally, three in Iran, one in Turkey, one in China and one in Brazil. The 16 reviews included 136 primary studies in total between 1988 and 2020. The overlapping of studies between reviews was found to be moderate (5.5%). The quality of reviews was low (2, 12.5%) or critically low (14, 87.5%). The estimated range of global prevalence of overall elder abuse was wide (1.1–78%), while the estimations of specific abuse prevalence ranged from 0–81.8% for neglect, 1.1–78.9% for psychological abuse, 0.7–78.3% for financial abuse, 0.1–67.7% for physical abuse, and 0–59.2% for sexual abuse.</p></div><div><h3>Conclusions</h3><p>Although the low quality of the evidence and the heterogeneity of the phenomenon makes it hard to give precise prevalence data, it is without a question that elder abuse is a prevalent problem with a wide dispersion. The focus of attention should shift towards interventions and policymaking to prevent this form of abuse.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121922","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}
A.M. Ballesteros Perez, I. Nieto Olivares, M.J. Conesa Espejo, B. Chiva Ballesteros
{"title":"Necesidades sentidas de salud en mujeres migrantes de una zona básica de salud: estudio cualitativo","authors":"A.M. Ballesteros Perez, I. Nieto Olivares, M.J. Conesa Espejo, B. Chiva Ballesteros","doi":"10.1016/j.semerg.2024.102197","DOIUrl":"https://doi.org/10.1016/j.semerg.2024.102197","url":null,"abstract":"<div><h3>Objectives</h3><p>To know the needs and lack of information on health issues of Maghrebi women.</p></div><div><h3>Subjects, material and method</h3><p>Design: Qualitative study technique nominal group (TGN). Subjects: 14 North African women from Association for Solidarity and Rapprochement of Cultures (ASAC) from the rural clinic of La Aljorra who knew and understood Spanish, older age, and lived in the town for more than 3 years.</p><p>Material and method TGN asks: «What daily health issues for you and your family worry you the most and do you need answers?» Individual reflection and list that were discussed among them, joining the group consensus. Subsequently, they were prioritized individually and a definitive list of their prioritized health needs was made.</p></div><div><h3>Results</h3><p>Thirty-six percent of the ASAC associates attended. At first, 17 topics were written on health needs for which they wanted a response. The final topics chosen and grouped by them were 6: 1) Contraceptive methods; 2) Relationship problems; 3) Thyroid; 4) How to cure the sciatic nerve?; 5) Anemia and 6) Stress. 70% related to the area of sexuality.</p></div><div><h3>Conclusions</h3><p>1) Qualitative research is an adequate consensus method to obtain information on little-known topics and directly from the person involved; 2) The Moroccan migrant woman considers information about sexuality and couple relationships very important; 3) Another pathology unknown to them and emerging in the area is thyroid; 4) Stress and its repercussions; 5) Sciatica and its consequences are also important when being agricultural workers.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140113739","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}