Atencion Primaria最新文献_第10页

Ciberseguridad y salud, riesgos en el siglo xxi 21世纪的网络安全和健康风险

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-02-16 DOI: 10.1016/j.aprim.2025.103233

Henry César Rivas Sucari

引用次数: 0

Artificial intelligence and natural language processing for improved telemedicine: Before, during and after remote consultation 改进远程医疗的人工智能和自然语言处理：远程会诊之前、期间和之后

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-02-16 DOI: 10.1016/j.aprim.2025.103228

Tiago Cunha Reis

{"title":"Artificial intelligence and natural language processing for improved telemedicine: Before, during and after remote consultation","authors":"Tiago Cunha Reis","doi":"10.1016/j.aprim.2025.103228","DOIUrl":"10.1016/j.aprim.2025.103228","url":null,"abstract":"<div><div>The rapid evolution of telemedicine has revealed significant documentation and workflow challenges. Clinicians often struggle with the administrative burdens of telehealth visits, sacrificing valuable time better spent in direct patient interaction. This issue is further compounded by the need to maintain accurate and comprehensive records, which can be time-consuming and prone to error when approached manually. In this context, integrating artificial intelligence (AI) and natural language processing (NLP) technologies presents a transformative opportunity. Automating documentation and enhancing workflow efficiency can revolutionize healthcare delivery, alleviating clinician workloads and improving clinical quality and patient safety. Therefore, examining the application of these cutting-edge technologies becomes imperative in addressing the pressing needs of modern healthcare and optimizing health outcomes. The significance of integrating AI and NLP technologies in clinical remote practice cannot be overstated. Hence, this article aims to inspire and motivate healthcare professionals to embrace these transformative changes.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103228"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prescripción prolongada de antidepresivos en atención primaria. Impacto en la salud pública 在初级保健中长期服用抗抑郁药。对公共卫生的影响

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-02-12 DOI: 10.1016/j.aprim.2025.103234

Antonio José Madueño-Caro , Gonzalo Berro-Ramírez , Luis Chávez-Gata , Rubén Torrescusa-Camisón , José Antonio Climent-Rodríguez , Yolanda Navarro-Abal , Juan Gómez-Salgado

{"title":"Prescripción prolongada de antidepresivos en atención primaria. Impacto en la salud pública","authors":"Antonio José Madueño-Caro , Gonzalo Berro-Ramírez , Luis Chávez-Gata , Rubén Torrescusa-Camisón , José Antonio Climent-Rodríguez , Yolanda Navarro-Abal , Juan Gómez-Salgado","doi":"10.1016/j.aprim.2025.103234","DOIUrl":"10.1016/j.aprim.2025.103234","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the variables associated with the prescription of long-term antidepressants (more than three years) to patients in a primary health area.</div></div><div><h3>Design</h3><div>Descriptive observational study.</div></div><div><h3>Site</h3><div>Basic health area of primary care.</div></div><div><h3>Participants</h3><div>A sample of 315 participants assigned to a basic health area, who have been prescribed at least one antidepressant during a calendar year.</div></div><div><h3>Interventions</h3><div>Institutional information sources.</div></div><div><h3>Main measurements</h3><div>Those variables that can be associated with a prolonged prescription of antidepressants. The selection of the patients was carried out by simple random sampling. Analysis using Chi-Square contrast for the comparison of proportions. Multivariate binary logistic regression to observe possible associations in the set of variables.</div></div><div><h3>Results</h3><div>The study analyzed a majority of women (75.2%) with a mean age of 61.7 years (SD=38.18). SSRIs (Selective Serotonin Reuptake Inhibitors) were the most commonly used antidepressants (50.5%), especially sertraline. Dysthymia was the main diagnosis (17%). Prolonged duration of treatment was associated with SSRIs and dysthymia. Logistic regression showed relevant factors: dysthymia, age, number of antidepressants, and SSRI use.</div></div><div><h3>Conclusion</h3><div>There is a high prevalence of prescription beyond three years. It is observed how dysthymic disorder is associated with a prolonged duration of treatment, as well as age, SSRI use, antidepressant change, and the total number of antidepressants prescribed.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103234"},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Riesgo continuo vascular con cifras de presión arterial altas. Comentario sobre recomendaciones vasculares y HTA PAPPS 2024 高血压持续血管危险。PAPPS 2024年血管和HTA建议评注

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-02-12 DOI: 10.1016/j.aprim.2025.103231

Miguel Angel María Tablado

引用次数: 0

Cuando la mascarilla esconde un diagnóstico: carcinoma de células escamosas 当口罩隐藏诊断：鳞状细胞癌

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-02-12 DOI: 10.1016/j.aprim.2025.103230

Carlos Castro , Patrícia Costa , Marta Alvarez

引用次数: 0

The collaborative mechanism of multiple subjects participating in community epidemic prevention and control 多主体参与社区疫情防控的协同机制

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-02-11 DOI: 10.1016/j.aprim.2025.103220

Shugang Li, Hao Wu

引用次数: 0

Proceso de mejora de la prestación de atención podológica comunitaria en las personas con diabetes mellitus en Catalunya Proceso de mejora de la pretacion de atencion podologica comunitaria en les personas con diabetes mellitus en Catalunya

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-02-04 DOI: 10.1016/j.aprim.2025.103222

Mariona Pons-Vigués , Cristina Casanovas-Guitart , Olga Correcher Aventin , Mireia Leal Negre , Albert Boada Valmaseda , Manel Pérez Quirós , Conxa Castell Abat

{"title":"Proceso de mejora de la prestación de atención podológica comunitaria en las personas con diabetes mellitus en Catalunya","authors":"Mariona Pons-Vigués , Cristina Casanovas-Guitart , Olga Correcher Aventin , Mireia Leal Negre , Albert Boada Valmaseda , Manel Pérez Quirós , Conxa Castell Abat","doi":"10.1016/j.aprim.2025.103222","DOIUrl":"10.1016/j.aprim.2025.103222","url":null,"abstract":"<div><div>In 2009, the Catalan Health Service <em>(Servei Català de la Salut)</em> introduced community podiatric care for people with diabetes mellitus and chronic vascular or neuropathic conditions as part of its service portfolio. After 10 years, an evaluation, review, and improvement of the service was promoted, carrying out various actions between 2018 and 2024. The improvement process was carried out collaboratively and participatively, involving multiple stakeholders. The main agreed changes include setting the number of visits based on the person's clinical profile and complexity, and the establishment of electronic communication and coordination channels between primary care and community podiatry. The redesign of the service has allowed for better alignment with the level of risk and intensity required by the individual, ensuring accessibility and equity in care. Connectivity improves the safety and traceability of care, as well as promotes de-bureaucratization and digitalization.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 5","pages":"Article 103222"},"PeriodicalIF":1.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143181361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artrosis: ¿cambios degenerativos o cambios adaptativos? Consejos educativos breves en la consulta de atención primaria 骨关节炎：退行性改变还是适应性改变？初级保健中的疼痛简短建议]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-02-01 DOI: 10.1016/j.aprim.2024.103173

Gema Izquierdo Enríquez , María Victoria García Espinosa , Isabel Prieto Checa , María Fernández de Paúl , Patricia Moreno Carrero , Silvia Fernanda García Vila

{"title":"Artrosis: ¿cambios degenerativos o cambios adaptativos? Consejos educativos breves en la consulta de atención primaria","authors":"Gema Izquierdo Enríquez , María Victoria García Espinosa , Isabel Prieto Checa , María Fernández de Paúl , Patricia Moreno Carrero , Silvia Fernanda García Vila","doi":"10.1016/j.aprim.2024.103173","DOIUrl":"10.1016/j.aprim.2024.103173","url":null,"abstract":"<div><div>Osteoarthritis is a degenerative joint disease and is the most common joint problem worldwide. It is considered a serious disease due to the presence of pain and reduced functional capacity. Moreover, there are no disease-modifying drugs or curative treatment at present; the basic or first-line treatment is non-pharmacological, based on education and physical exercise.</div><div>The presence of degenerative changes in imaging tests is present in a high percentage of the general asymptomatic population, i.e. in those who have no pain or functional limitation, and this percentage increases progressively with age. In short, osteoarthritis is part of the normal aging process of the population.</div><div>As with low back pain, it is proposed to apply a salutogenic model of health, paying special attention to the terms used when informing and advising patients.</div><div>It is proposed a review of the main causes, effectiveness and prognosis of osteoarthritis treatment, in order to provide brief educational advice to patients.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 103173"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

XLIV Congreso de la semFYC en Barcelona [在巴塞罗那举行的第十五届semFYC大会]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-02-01 DOI: 10.1016/j.aprim.2024.103213

Sonia Pérez López

引用次数: 0

La inteligencia artificial en atención primaria: ¿solución o problema? 初级保健中的人工智能：是敌是友？］

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-01-31 DOI: 10.1016/j.aprim.2025.103223

Julio Bonis Sanz , Rafael Bravo Toledo

引用次数: 0