Medicina de Familia-SEMERGEN最新文献

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Asociación entre obesidad y Long-Covid: una revisión narrativa [肥胖与长冠之间的关系:一项叙述性回顾]。
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-09 DOI: 10.1016/j.semerg.2024.102390
J.M. Fernández-García , A. Romero-Secin , M. Rubín-García
{"title":"Asociación entre obesidad y Long-Covid: una revisión narrativa","authors":"J.M. Fernández-García ,&nbsp;A. Romero-Secin ,&nbsp;M. Rubín-García","doi":"10.1016/j.semerg.2024.102390","DOIUrl":"10.1016/j.semerg.2024.102390","url":null,"abstract":"<div><div>To analyze the evidence in the scientific literature that relates Long-Covid and obesity, a narrative review of articles published in English and Spanish in Medline and Embase in the last 5<!--> <!-->years has been carried out. Infection with the SARS-CoV-2 virus causes a systemic inflammatory state increasing nutritional demand that favors sarcopenia in Long-Covid syndrome. It also causes endothelial dysfunction and a prothrombotic state that favors the formation of microthrombi and tissue hypoxia. A healthy and balanced diet is essential to treat obesity in addition to modifying the microbiota in Long-Covid and promoting physical and mental well-being. Obesity is an independent risk factor that increases the need for hospitalization, cardiovascular risk and mortality, as well as susceptibility to Long-Covid. Adipose tissue is a good reservoir of the virus, enhancing the comorbidities associated with obesity (high blood pressure, diabetes mellitus, dyslipidemia or fatty liver). There is insufficient evidence to recommend nutritional supplements to improve Long-Covid symptoms.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 3","pages":"Article 102390"},"PeriodicalIF":0.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808495","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
Úlceras submamarias de etiología yatrogénica. ¿Las sospechamos adecuadamente? 医源性乳腺下溃疡。我们对他们的怀疑正确吗?]
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-09 DOI: 10.1016/j.semerg.2024.102397
M. Rodríguez-Troncoso , G. Vargas-Castillo , R. Ruiz-Villaverde
{"title":"Úlceras submamarias de etiología yatrogénica. ¿Las sospechamos adecuadamente?","authors":"M. Rodríguez-Troncoso ,&nbsp;G. Vargas-Castillo ,&nbsp;R. Ruiz-Villaverde","doi":"10.1016/j.semerg.2024.102397","DOIUrl":"10.1016/j.semerg.2024.102397","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 3","pages":"Article 102397"},"PeriodicalIF":0.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808503","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
Protective factors and mental health in couples who expect a child in confinement 待产夫妇的保护因素和心理健康。
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-09 DOI: 10.1016/j.semerg.2024.102392
M.D. Lanzarote-Fernández, M.M. Aires-González, M. Gómez de Terreros Guardiola, E.M. Padilla-Muñoz
{"title":"Protective factors and mental health in couples who expect a child in confinement","authors":"M.D. Lanzarote-Fernández,&nbsp;M.M. Aires-González,&nbsp;M. Gómez de Terreros Guardiola,&nbsp;E.M. Padilla-Muñoz","doi":"10.1016/j.semerg.2024.102392","DOIUrl":"10.1016/j.semerg.2024.102392","url":null,"abstract":"<div><h3>Objective</h3><div>Adverse situations can affect the mental health and support of pregnant women and their partners, such as the COVID-19 pandemic and the resulting confinement periods. The main objective of this study was to evaluate the protective factors in the mental health of pregnant women and their partners, as well as the interrelationships of these factors, in an adverse situation, through the assessment of resilience, perceived support, anxiety, depression and stress.</div></div><div><h3>Methods</h3><div>The sample consisted of 38 women with no pregnancy risk and 25 partners evaluated between gestation weeks 24 and 31. This is a cross-sectional, descriptive, correlational study.</div></div><div><h3>Results</h3><div>The pregnant women presented lower resilience, greater social support (especially family support), and greater intensity of depression, anxiety and stress than their partners. Moreover, a mutual relationship was found, both in depression and general support, between the members of the couple.</div></div><div><h3>Conclusion</h3><div>During the confinement, pregnant women have presented greater vulnerability in mental health, despite perceiving greater social support than their partners. Greater resilience in the partners could be a relevant factor to cope with situation of adversity during pregnancy, as indicated by the relationship detected between the risk and protective factors. It would be desirable to improve the attention and care of pregnant women during prolonged periods of adversity, including the couple, and to strengthen mutual support.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 3","pages":"Article 102392"},"PeriodicalIF":0.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808561","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
Estudio descriptivo del uso de pantallas recreativas en la población escolar de 0-12 años del Prat de Llobregat [对El Prat de Llobregat 0-12岁学生使用街机屏幕的描述性研究]。
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-09 DOI: 10.1016/j.semerg.2024.102389
E. Ruiz Mariscal, F. Marín Jiménez, J. Fernández Blanco, S. Domínguez Rovira, C. Rodrigo Durán, N. Rodríguez Bailón
{"title":"Estudio descriptivo del uso de pantallas recreativas en la población escolar de 0-12 años del Prat de Llobregat","authors":"E. Ruiz Mariscal,&nbsp;F. Marín Jiménez,&nbsp;J. Fernández Blanco,&nbsp;S. Domínguez Rovira,&nbsp;C. Rodrigo Durán,&nbsp;N. Rodríguez Bailón","doi":"10.1016/j.semerg.2024.102389","DOIUrl":"10.1016/j.semerg.2024.102389","url":null,"abstract":"<div><h3>Introduction</h3><div>There is sufficient scientific evidence that determines a direct relationship between the number of hours of exposure to screens with a sedentary lifestyle, overweight, delayed psychomotor development and mental disorders, among others.</div></div><div><h3>Aim</h3><div>Know the exposure time of the screens. The main rules of use for school children aged 0-12. Describe the role of tutors in relation to the rules of screen use.</div></div><div><h3>Method</h3><div>Cross-sectional descriptive study using a self-administered questionnaire to 1583 tutors of children between 0 and 12 years of age enrolled in a city in the metropolitan area of Barcelona. The main variables will include the connection time to the screens of minors from Monday to Friday and the connection time to the screens on public holidays.</div></div><div><h3>Results</h3><div>1583 surveys were collected (50.9% girls, 48.9% boys and 0.2% non-binary). There was a progressive increase in the number of hours spent on screens as a function of increasing age. 68.21% of the sample began their first contact with screens before the age of 2.</div></div><div><h3>Conclusions</h3><div>The population under 12 years of age does not comply with the preventive recommendations set out in the Comprehensive Care Plan for people with mental disorders and addictions of the Generalitat de Catalunya (2017-2019) or the WHO recommendations. The results indicate that inappropriate use is made and that limits and rules for the use of screens by tutors are not applied to their minors in charge.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 2","pages":"Article 102389"},"PeriodicalIF":0.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808523","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
Latest vaccination trends against herpes zoster within two primary care settings in Crete, Greece: Rates and perception driven determinants 在希腊克里特岛的两个初级保健机构中针对带状疱疹的最新疫苗接种趋势:比率和认知驱动的决定因素。
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-09 DOI: 10.1016/j.semerg.2024.102394
M. Kefalogianni , H. Dimitriou , A. Bertsias , G. Marinos , D. Kofteridis , E.K. Symvoulakis
{"title":"Latest vaccination trends against herpes zoster within two primary care settings in Crete, Greece: Rates and perception driven determinants","authors":"M. Kefalogianni ,&nbsp;H. Dimitriou ,&nbsp;A. Bertsias ,&nbsp;G. Marinos ,&nbsp;D. Kofteridis ,&nbsp;E.K. Symvoulakis","doi":"10.1016/j.semerg.2024.102394","DOIUrl":"10.1016/j.semerg.2024.102394","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to estimate the vaccination rate against herpes zoster (HZ) among public Primary Health Care (PHC) visitors eligible for vaccination based on the National guidelines. It also aims to explore the determinants associated with vaccination utilizing the health beliefs model (HBM).</div></div><div><h3>Materials and methods</h3><div>A cross-sectional study was conducted between October and December 2022. The study took place in two public PHC units in the Heraklion prefecture, Crete, Greece. Eligible participants were visitors of the selected health units aged 60–75 years. The questionnaire elicited information on participants’ demographic data, health habits, and chronic illnesses. The HBM tool adapted for HZ vaccination was also used.</div></div><div><h3>Results</h3><div>Four hundred primary care attendees participated in the study. Most participants were women (58.5%), with a mean age of 68.1 (±4.9) years. Fifteen percent of participants reported a history HZ illness, while 147 (36.8%) reported being vaccinated against HZ. Older age and respiratory illnesses were associated with higher rates of vaccination. Perceived threat (OR: 1.057; 95% CI 1.022–1.093; <em>p</em> <!-->=<!--> <!-->0.001), perceived vaccination benefits (OR: 1.327; 95% CI 1.179–1.492; <em>p</em> <!-->&lt;<!--> <!-->0.0001), and motivation for action (OR: 2.601; 95% CI 2.122–3.187; <em>p</em> <!-->&lt;<!--> <!-->0.0001) increased the odds of receiving HZ vaccination. Conversely, perceived barriers such as safety concerns were found to decrease the odds of HZ vaccination (OR: 0.845; 95% CI 0.803–0.889; <em>p</em> <!-->&lt;<!--> <!-->0.0001).</div></div><div><h3>Conclusions</h3><div>This study identified specific determinants positively associated with HZ vaccination, highlighting the need to enhance the education of healthcare professionals in personalized patient counseling.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 3","pages":"Article 102394"},"PeriodicalIF":0.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808583","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
Carta al editor: evolución de la cotización y demanda de la especialidad de Medicina Familiar y Comunitaria en el examen MIR 2002-2023 [致编者信:MIR 2002-2023年家庭和社区医学的演变、引文和需求]。
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-09 DOI: 10.1016/j.semerg.2024.102346
M.P. Torres Moreno , R. Blanco Herrera , L. Vegas Fernández , J.J. Alfaro Martínez
{"title":"Carta al editor: evolución de la cotización y demanda de la especialidad de Medicina Familiar y Comunitaria en el examen MIR 2002-2023","authors":"M.P. Torres Moreno ,&nbsp;R. Blanco Herrera ,&nbsp;L. Vegas Fernández ,&nbsp;J.J. Alfaro Martínez","doi":"10.1016/j.semerg.2024.102346","DOIUrl":"10.1016/j.semerg.2024.102346","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 2","pages":"Article 102346"},"PeriodicalIF":0.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808526","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
Uso de la ecografía clínica en atención primaria: hombro doloroso 临床超声在初级保健中的应用:肩部疼痛
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-01 DOI: 10.1016/j.semerg.2024.102385
J.A. López Juan , M. Román Garrido , M.D. Jiménez Cremers , T. Fernández Rodriguez
{"title":"Uso de la ecografía clínica en atención primaria: hombro doloroso","authors":"J.A. López Juan ,&nbsp;M. Román Garrido ,&nbsp;M.D. Jiménez Cremers ,&nbsp;T. Fernández Rodriguez","doi":"10.1016/j.semerg.2024.102385","DOIUrl":"10.1016/j.semerg.2024.102385","url":null,"abstract":"<div><div>Shoulder pain is one of the most common conditions in primary care, especially in elderly patients. Ultrasound stands out as an effective and cost-efficient tool for assessing these injuries, allowing real-time dynamic visualization of the affected anatomical structures. There is clear evidence that ultrasound is an effective diagnostic tool in the hands of a properly trained family physician. The tendons of the rotator cuff, especially the supraspinatus, are the most commonly affected. Ultrasound is crucial in detecting its pathology. Generally, the age and degenerative process itself stand out as the most influential factors in the pathogenesis. This review provides an overview of shoulder ultrasound anatomy, its exploration methodology, and the diagnosis of various injuries and pathologies.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"50 9","pages":"Article 102385"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745383","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
Uso de la ecografía clínica en atención primaria: nódulo tiroideo [临床超声在初级保健中的应用:甲状腺结节]。
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-01 DOI: 10.1016/j.semerg.2024.102384
E. Viudas Sainz , A.M. Sánchez Sempere , O. Vicente López , J. Cabrera Gómez
{"title":"Uso de la ecografía clínica en atención primaria: nódulo tiroideo","authors":"E. Viudas Sainz ,&nbsp;A.M. Sánchez Sempere ,&nbsp;O. Vicente López ,&nbsp;J. Cabrera Gómez","doi":"10.1016/j.semerg.2024.102384","DOIUrl":"10.1016/j.semerg.2024.102384","url":null,"abstract":"<div><div>The thyroid nodule is a frequent lesion within the thyroid. Its incidence is between 50%-60% and most of them are asymptomatic and benign (90-95%) and its diagnosis is frequently made as an incidental finding. The main objective of their study is to rule out thyroid cancer.</div><div>Cervical ultrasound is the non-invasive diagnostic technique of choice to study the thyroid gland and its pathology, including the thyroid nodule, as it is the technique with the best cost-benefit ratio. Together with the anamnesis, physical examination, personal and family history and laboratory tests, it enables the first diagnostic approach. Ultrasonography allows the description of thyroid nodules according to their structure, morphology, margins, size,echogenicity, vascularization, calcifications and whether or not there are pathological lymph nodes. Subsequently, the application of risk stratification systems, such as the TI-RADS classification, will make it possible to identify those nodules suspected of having a high risk of malignancy, establishing the indication for FNA, which is decisive for the subsequent therapeutic approach. Ultrasound therefore allows the family physician a quick orientation of the patient with a thyroid nodule, especially useful when there is a high suspicion of malignancy. As it is an operator-dependent technique, acquiring knowledge and skills in its use will increase diagnostic reliability.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"50 9","pages":"Article 102384"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792785","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
La ecografía en atención primaria. Algo nuevo, algo viejo y algo prestado 超声在初级保健中的应用。有新的,有旧的,也有借来的]。
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-01 DOI: 10.1016/j.semerg.2024.102367
M. Rivera Teijido
{"title":"La ecografía en atención primaria. Algo nuevo, algo viejo y algo prestado","authors":"M. Rivera Teijido","doi":"10.1016/j.semerg.2024.102367","DOIUrl":"10.1016/j.semerg.2024.102367","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"50 9","pages":"Article 102367"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792782","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
Cólico biliar ¿sin más? (胆绞痛。这就是全部吗?]
IF 0.9
Medicina de Familia-SEMERGEN Pub Date : 2024-12-01 DOI: 10.1016/j.semerg.2024.102399
M. Sánchez Cambronero, M. Guisasola Cárdenas, A. González Bravo, M.N. Generoso Torres, J.C. Aguirre Rodríguez
{"title":"Cólico biliar ¿sin más?","authors":"M. Sánchez Cambronero,&nbsp;M. Guisasola Cárdenas,&nbsp;A. González Bravo,&nbsp;M.N. Generoso Torres,&nbsp;J.C. Aguirre Rodríguez","doi":"10.1016/j.semerg.2024.102399","DOIUrl":"10.1016/j.semerg.2024.102399","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"50 9","pages":"Article 102399"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792780","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
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