Medicina de Familia-SEMERGEN最新文献_第9页

Exostosis de conducto auditivo externo u oído de surfista 外耳道骨质增生或冲浪耳

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-27 DOI: 10.1016/j.semerg.2023.102131

N. Sánchez Varela, M. Vidal Gómez, M. Portela Romero

引用次数: 0

Medicina de Familia. SEMERGEN en Journal Citation Reports 家庭医学期刊引文报告中的 SEMERGEN

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-11 DOI: 10.1016/j.semerg.2023.102160

A. Fernández-Ramos

引用次数: 0

Importancia del sexo y el género en el algoritmo de la redGDPS 性别和性别在redGDPS算法中的重要性

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-07 DOI: 10.1016/j.semerg.2023.102151

M.A. María Tablado, Soy miembro del grupo de trabajo de atención primaria de la SED

引用次数: 0

Recomendaciones médicas desde atención primaria sobre ejercicio físico en el posparto 基层医疗机构关于产后体育锻炼的医疗建议

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-07 DOI: 10.1016/j.semerg.2023.102148

L.M. Gallo-Galán , M.A. Gallo-Vallejo , J.L. Gallo-Vallejo

引用次数: 0

Psychotropic medicine use without current or prior medical advice, storage at home and association with perceived stress in a primary health care setting in Greece 在希腊初级卫生保健机构中，在没有当前或先前医疗建议的情况下使用精神药物、在家中储存以及与感知到的压力有关

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-07 DOI: 10.1016/j.semerg.2023.102150

P. Volkos , E.I. Kritsotakis , E.K. Symvoulakis

{"title":"Psychotropic medicine use without current or prior medical advice, storage at home and association with perceived stress in a primary health care setting in Greece","authors":"P. Volkos , E.I. Kritsotakis , E.K. Symvoulakis","doi":"10.1016/j.semerg.2023.102150","DOIUrl":"https://doi.org/10.1016/j.semerg.2023.102150","url":null,"abstract":"<div><h3>Objective</h3><p>Psychotropic medicines use alters according to socio-economic factors and perceived stress. The study aimed to assess the prevalence of use of psychotropic medicines and supplements (PMS) without medical advice, including storage at home, and its relationship with socio-demographic characteristics and perceived stress in primary care patients.</p></div><div><h3>Materials and methods</h3><p>A cross-sectional sample of adult attendees in an urban primary care unit in Crete, Greece, were surveyed during regularly scheduled appointments during a three-week period in October 2020. A questionnaire was distributed to investigate PMS use during the last 12 months. The validated Greek version of Perceived Stress Scale (PSS-14) was adopted to measure perceived stress.</p></div><div><h3>Results</h3><p>Of 263 respondents (mean age 46.3±14.5 years; 66.5% females), 101 (38.4%; 95%CI 33.1–43.7%) recalled having psychotropic medicines stored at home cabinets and 72 (27.4%; 95%CI 22.4–32.3%) reported using PMS without medical advice in the last 12 months.</p></div><div><h3>Conclusions</h3><p>This study revealed a high prevalence of PMS use without medical advice, including storage at home. People>59 years of age, experiencing irregular sleep and scoring high in PSS, displayed increased prevalence of storing PMS at home or using them without medical advice. The findings could potentially inform primary care providers to focus on patients most likely to be users of PMS without medical advice.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138501812","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

Novedades del código de deontología médica español 关于西班牙医学义务论守则的新闻

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-05 DOI: 10.1016/j.semerg.2023.102137

M.A. Lasheras-Pérez, M. Rodríguez-Serna, I. Torres-Navarro, B. Unamuno Bustos

引用次数: 0

Situación actual de los anticoagulantes orales de acción directa en atención primaria de España. Posicionamiento de SEMERGEN en 2023 西班牙初级保健中口服直接作用抗凝剂的现状。SEMERGEN在2023年的定位

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-05 DOI: 10.1016/j.semerg.2023.102136

J. Polo-García , V. Pallares-Carratalá , M. Turegano-Yedro , J.C. Romero-Vigara , M.A. Prieto-Díaz , S. Cinza-Sanjurjo

{"title":"Situación actual de los anticoagulantes orales de acción directa en atención primaria de España. Posicionamiento de SEMERGEN en 2023","authors":"J. Polo-García , V. Pallares-Carratalá , M. Turegano-Yedro , J.C. Romero-Vigara , M.A. Prieto-Díaz , S. Cinza-Sanjurjo","doi":"10.1016/j.semerg.2023.102136","DOIUrl":"https://doi.org/10.1016/j.semerg.2023.102136","url":null,"abstract":"<div><p>Oral anticoagulation is the key to reduce the risk of stroke in atrial fibrillation. Although vitaminK antagonists (VKA) have classically been used for this purpose, they have been largely overcome by direct oral anticoagulants (DOAC), as demonstrated by evidence from clinical trials, real-life and population studies. In fact, all clinical practice guidelines recommend their use preferentially over VKA. However, in Spain the prescription of DOAC is subordinated to an inspection visa that includes the clinical conditions defined in the Therapeutic Positioning Report of the Spanish Medicines Agency, and that still imposes important restrictions on their use, limiting the benefits of using DOACs in patients with atrial fibrillation (AF), and also generating inequalities between the different autonomous communities. In fact, the use of DOAC in Spain is much lower than that observed in neighboring countries. This has made that while in other countries the incidence of ischemic stroke has decreased at the population level, along with a reduction in the cost per patient with AF, in Spain this decrease has been modest. For all these reasons, and for assuring the sustainability of the health care system, we ask for the elimination of the visa so that DOAC can be prescribed according to the recommendations made by the guidelines. In addition, we are also committed to reinforce medical education and decisions made by consensus with the patient, with the primary care physician acquiring a key role in the protection of the patient with AF.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138484333","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

Diabetes y mujer, ¿por qué somos diferentes? 糖尿病和女性，为什么我们不同?

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-05 DOI: 10.1016/j.semerg.2023.102138

M.P. Pérez Unanua , F. López Simarro , C.I. Novillo López , A.G. Olivares Loro , S. Yáñez Freire

引用次数: 0

Checklist como herramienta para los padres ante la fiebre en el paciente pediátrico 检查表作为家长面对儿科患者发烧的工具

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-03 DOI: 10.1016/j.semerg.2023.102134

A. Moreno Sánchez , D. Molina Herranz , J.M. Aroza Ruano , G. Carmen Marcén , B. Salinas Salvador , M.Á. Ordoñez Alonso

{"title":"Checklist como herramienta para los padres ante la fiebre en el paciente pediátrico","authors":"A. Moreno Sánchez , D. Molina Herranz , J.M. Aroza Ruano , G. Carmen Marcén , B. Salinas Salvador , M.Á. Ordoñez Alonso","doi":"10.1016/j.semerg.2023.102134","DOIUrl":"https://doi.org/10.1016/j.semerg.2023.102134","url":null,"abstract":"<div><h3>Introduction</h3><p>In Western Europe, 20%-40% of children with fever request health care. Most of them present trivial viral infections, however, it is essential in pediatrics to distinguish patients who present a severe infection. This process begins with the recognition of the seriousness and the subsequent search for medical attention by the parents.</p></div><div><h3>Methodology</h3><p>Analytical and cross-sectional observational study. One hundred patients were selected in two health centers. Sociodemographic data were collected, together with the responses to a checklist containing the signs and symptoms to request health care in case of fever. Subsequently, the checklist was filled out by the pediatrician.</p></div><div><h3>Results</h3><p>The mean age of the patients was 5.41 years. 50% consulted in the first 48h of fever evolution. In 42%, the response to all the items on the checklist was exactly the same between the companion and the pediatrician. There were no significant differences according to variables: first episode of fever (<em>P</em>=.262), age of the patient (<em>P</em>=.859), having a sibling (<em>P</em>=.880), family relationship of the companion (<em>P</em>=.648) or educational level of the companion (<em>P</em>=.828).</p></div><div><h3>Conclusions</h3><p>Medical consultations for fever in pediatrics are carried out very early. A high percentage do not present alarm signs when they consult. There is a need to expand training on the alarm signs of fever in all parents, regardless of the number of children, age or educational level. The checklist as a tool for home assessment of fever has received high marks for its usefulness.</p></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138475320","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

Insuficiencia suprarrenal secundaria por acetato de megestrol: revisión bibliográfica y consideraciones a propósito de un caso 醋酸甲地孕酮继发性肾上腺功能不全:文献综述及对一例的考虑

IF 1.1

Medicina de Familia-SEMERGEN Pub Date : 2023-12-02 DOI: 10.1016/j.semerg.2023.102084

P. Espinosa Rodríguez , A. Sabater López-Guillén , A. Martínez Aguilar , C. Delpeso Gilsanz , A. Hernández López

引用次数: 0