Atencion Primaria最新文献

{"title":"Primary care referral causes and final neurodevelopmental diagnosis: Do they match?","authors":"Joana Carvalho Queirós , Francisca Villas-Boas , Mariana Cruz da Silva , Catarina Prior , Inês Vaz Matos","doi":"10.1016/j.aprim.2023.102832","DOIUrl":"10.1016/j.aprim.2023.102832","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 102832"},"PeriodicalIF":1.8,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402079","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}

{"title":"Modelo transteórico y su asociación con la actividad física en pacientes con hipertensión arterial","authors":"Jannett Padilla López ,&nbsp;Karina Lizbeth Ortega Covarrubias ,&nbsp;Carolina Quiñones Villalobos ,&nbsp;Carlos Alberto Prado Aguilar ,&nbsp;Juan Manuel Márquez Romero ,&nbsp;Alicia Alanis Ocádiz","doi":"10.1016/j.aprim.2024.103092","DOIUrl":"10.1016/j.aprim.2024.103092","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the association between the transtheoretical model (TTM) and physical activity (PA) carried out in free time in patients with arterial hypertension in the central region of Mexico.</div></div><div><h3>Design</h3><div>Comparative cross-sectional study.</div></div><div><h3>Site</h3><div>The study was carried out in the Family Medicine Unit No.<!--> <!-->1 (UFM<!--> <!-->1) of the Mexican Social Security Institute in Aguascalientes, Mexico.</div></div><div><h3>Participants</h3><div>Four hundred thirty-five adults aged 40 to 70 with arterial hypertension who attended the outpatient clinic at UFM<!--> <!-->1 were included.</div></div><div><h3>Interventions</h3><div>The Global Physical Activity Questionnaire and the Stages of Change algorithm from the TTM were applied.</div></div><div><h3>Main measurements</h3><div>A descriptive, bivariate analysis and ordinal logistic regression were performed to evaluate the association between TTM stages and PA.</div></div><div><h3>Results</h3><div>As patients progress through the stages of change, their weekly PA increased. Individuals in the action, maintenance and consolidation stages were significantly more likely to perform higher levels of exercise: 20 times more likely in the action stage with an ordinal odds ratio (OR) of 20.07 (CI<!--> <!-->95%: 10,52-38,25), 24 times more in the maintenance stage with OR 24 (CI<!--> <!-->95%: 12,79-47,63) and 40 times more in the consolidation stage with OR 40,35 (IC<!--> <!-->95%: 19,25-84,59).</div></div><div><h3>Conclusions</h3><div>The strong association between the stages of change and PA reveals the importance of applying the TTM to achieve success in programs to promote healthy habits by designing strategies that suit each subject.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103092"},"PeriodicalIF":1.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378560","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}

{"title":"Eutanasia en Andalucía: aproximación al posicionamiento de los trabajadores sociales de atención primaria respecto del médico responsable","authors":"José Manuel Jiménez Rodríguez","doi":"10.1016/j.aprim.2024.102872","DOIUrl":"10.1016/j.aprim.2024.102872","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 1","pages":"Article 102872"},"PeriodicalIF":1.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378646","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}

{"title":"Estimating the economic impact of gender-based violence on women survivors: A comparative study of support program interventions in Makueni and Naivasha, Kenya","authors":"","doi":"10.1016/j.aprim.2023.102840","DOIUrl":"10.1016/j.aprim.2023.102840","url":null,"abstract":"<div><h3>Objective</h3><div>To estimate the economic cost of GBV from the perspective of a women survivor who sought help from two identified programs (Makueni GBVRC and Life Bloom Services International [LBSI]).</div></div><div><h3>Design</h3><div>A mixed method research design combining qualitative and quantitative approaches.</div></div><div><h3>Site</h3><div>Makueni GBVRC in Makueni County, overseen by the Makueni County government, and LBSI in Naivasha, Nakuru County, a non-profit organization devoted to serving local communities.</div></div><div><h3>Participants</h3><div>Study participants include women survivors of GBV, aged 18 and above, actively seeking services at Makueni GBVRC and LBSI.</div></div><div><h3>Interventions</h3><div>The study adopts a qualitative approach to delve into the intricate economic costs of GBV on survivors. Additionally, quantitative data analysis employs an accounting model to ascertain the financial implications.</div></div><div><h3>Main measurements</h3><div>The costs analyses were done from the perspective of the women survivors. An accounting model was utilized to evaluate the cost of GBV on selected survivors. Furthermore, the research explores the enduring consequences for survivors, including psychological trauma and susceptibility to stress-related diseases.</div></div><div><h3>Results</h3><div>The findings reveal substantial economic costs linked to GBV, adversely affecting survivors, their children, and society at large. These costs encompass direct expenditures on medical care, legal representation, and counseling, as well as indirect costs, such as lost productivity.</div></div><div><h3>Conclusions</h3><div>Beyond immediate and indirect costs, the study underscores the existence of opportunity costs—what survivors and affected children could attain in the absence of GBV.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 10","pages":"Article 102840"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032908","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}

{"title":"Progresión posparto de los niveles de ansiedad y depresión en madres de recién nacidos prematuros","authors":"Yolanda Giménez ,&nbsp;Francesc Fatjó ,&nbsp;Aida Mallorquí ,&nbsp;Alba Sanvicente ,&nbsp;Francesc Figueras ,&nbsp;Angela Arranz","doi":"10.1016/j.aprim.2024.103085","DOIUrl":"10.1016/j.aprim.2024.103085","url":null,"abstract":"<div><h3>Objective</h3><div>The postpartum period represents a vulnerable time for women's mental health, especially for those with complications and prematurity. This study aims to explore the evolution of depression and anxiety levels during the 12 weeks postpartum in mothers of premature babies.</div></div><div><h3>Design</h3><div>Prospective study of two parallel cohorts.</div></div><div><h3>Setting</h3><div>Hospital Clínic of Barcelona.</div></div><div><h3>Participants</h3><div>Women with obstetric complications [premature rupture of membranes or preeclampsia] requiring hospitalization and preterm delivery (&lt; 37 weeks of gestation); 2) Women without complications with term delivery.</div></div><div><h3>Main measures</h3><div>Validated questionnaires were administered to measure anxiety (State-Trait Anxiety Inventory, STAI) and depression (Edinburgh Postnatal Depression Scale, EPDS) during the first week, and at 6 and 12 weeks postpartum.</div></div><div><h3>Results</h3><div>182 women were analyzed: 90 with uncomplicated pregnancies and term deliveries, and 92 with complications requiring preterm delivery. During the follow-up, women with premature newborns showed a significantly unfavorable progression in depression (p &lt;<!--> <!-->0.001) and anxiety (p &lt;<!--> <!-->0.001) scores, as well as a higher proportion of abnormal scores on both scales (p &lt;<!--> <!-->0.001 and p<!--> <!-->=<!--> <!-->0.004, respectively)</div></div><div><h3>Conclusions</h3><div>Women with preterm delivery show higher anxiety and depression levels than those with term delivery during the 12 weeks postpartum. It is essential to ensure a seamless transition between care levels to effectively address postpartum mental health.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103085"},"PeriodicalIF":1.8,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319328","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}

{"title":"Prevalencia de obesidad y diabetes en España. Evolución en los últimos 10 años","authors":"Ana María Cebrián Cuenca ,&nbsp;Javier Escalada","doi":"10.1016/j.aprim.2024.102992","DOIUrl":"10.1016/j.aprim.2024.102992","url":null,"abstract":"<div><div>The prevalence of overweight and obesity has been increasing in recent decades, worldwide and in all age groups, including children and adolescents. In Spain, the prevalence of overweight and obesity is high and is expected to increase in the coming years. The <em>World Atlas of Obesity</em> suggests that in 2035 the prevalence of obesity in Spain will be high or very high, both in adults and children, following the worldwide trend. The prevalence of diabetes and obesity in Spain is higher in older people, especially those aged 65 and over. In the case of Spanish children and adolescents, there seems to be a stabilization in the rates of overweight and obesity, with the exception of the group of girls aged 10-15 years, where a gradual increase has been observed in the last 10 years.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 102992"},"PeriodicalIF":1.8,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319329","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}

{"title":"Mpox cases finding: Evaluation of a Primary Care detection program in the Northern Metropolitan area from Barcelona (Spain)","authors":"Andrés Martínez-Arias ,&nbsp;Lluís Valerio ,&nbsp;Xavier Vallès ,&nbsp;Sílvia Roure Díez ,&nbsp;Laura Soldevila Langa ,&nbsp;Primary Health Mpox Study Group,&nbsp;Èlia Fernandez Pedregal ,&nbsp;Àgueda Hernàndez Rodríguez ,&nbsp;Mar Isnard-Blanchard ,&nbsp;Josep Maria Bonet Simó ,&nbsp;Núria Prat Gil ,&nbsp;Anna Cirera ,&nbsp;Bonaventura Clotet ,&nbsp;Emili Gené Tous","doi":"10.1016/j.aprim.2024.103089","DOIUrl":"10.1016/j.aprim.2024.103089","url":null,"abstract":"<div><h3>Main aim</h3><div>In July 2022, an extensive outbreak of Mpox (monkeypox) was considered by WHO as a Public Health Emergency. The objective of this study is to describe the obtained results from a Mpox case detection program in a semi-urban healthcare area where approximately 420 Primary Care physicians work.</div></div><div><h3>Design</h3><div>An observational prospective study performed between June 01, 2022 and December 31, 2023.</div></div><div><h3>Setting</h3><div>The Northern Metropolitan area of Barcelona, with 1400.000<!--> <!-->hab (Catalonia, Spain).</div></div><div><h3>Methods</h3><div>An unified Mpox management procedure was agreed, including a prior online training of Primary Care professionals, to individually assess all Mpox suspected cases from a clinical and epidemiological perspective.</div></div><div><h3>Participants</h3><div>All patients who met clinical and/or epidemiological criteria of Mpox.</div></div><div><h3>Data collection</h3><div>Age, gender, risk classification (suspected/probable), cluster-linked (yes/no), high-risk sexual contact (yes/no), general symptoms, genital lesion and final diagnostic.</div></div><div><h3>Results</h3><div>A total of 68 suspected Mpox cases were included, from which 16 (26.6%) were Mpox confirmed by PCR. Up to 13 (81.2%) were male and, among them, 12 (75%) men who have sex with men (MSM). The series, however, included two minors and three women. Among MSM, 3 (18.7%) were HIV positive and 3 had no regular access to the Public Healthcare system. Among discarded patients, any infectious disease was diagnosed in 55% of cases.</div></div><div><h3>Conclusions</h3><div>In spite of the short series, this Primary Care community-based study identified a sub-population group showing a different profile of Mpox cases compared to other published series (lower HIV prevalence, higher representativeness of heterosexual transmission and hard to reach population).</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103089"},"PeriodicalIF":1.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002312/pdfft?md5=b302613c8b22954ea4e8da7ffb49be64&pid=1-s2.0-S0212656724002312-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142314357","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}

{"title":"Practices and knowledge of health personnel about transgenderity in Primary Health Care","authors":"Francisco Jean Gomes de Sousa ,&nbsp;Edgar Amatuzzi ,&nbsp;Andressa Teoli Nunciaroni ,&nbsp;Jaime Alonso Caravaca-Morera ,&nbsp;Claudia Regina Ribeiro ,&nbsp;Adriana Lemos","doi":"10.1016/j.aprim.2024.103081","DOIUrl":"10.1016/j.aprim.2024.103081","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the practices and knowledge of Nursing Technicians and Community Health Agents of Primary Health Care for the transgender population.</p></div><div><h3>Design</h3><p>Descriptive research with a qualitative approach.</p></div><div><h3>Site</h3><p>The study was developed in a digital environment.</p></div><div><h3>Participants</h3><p>18 Community Health Agents and 12 Nursing Technicians who worked in Primary Health Care Units from several Brazilian states.</p></div><div><h3>Method</h3><p>Sampling technique by chain indication or networks (snowball), data production by Google Forms form. The theoretical saturation technique was used to close the interviews. Categorical thematic content analysis with IRAMUTEQ software support.</p></div><div><h3>Results</h3><p>Professionals’ lack of knowledge about policies and terms was evidenced; there were conceptual confusions, inadequate associations, and a restricted approach to the prevention of sexually transmitted infections.</p></div><div><h3>Conclusions</h3><p>The lack of training reflects a cisnormative and binary approach, compromising the assistance to the transgender population. Disrespect for the social name persists, highlighting the need for permanent education for health professionals, aiming at an inclusive and respectful care practice.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 103081"},"PeriodicalIF":1.8,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002233/pdfft?md5=c24143331d0aba73307f04726ae1ea98&pid=1-s2.0-S0212656724002233-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274468","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}

{"title":"Policondritis recidivante","authors":"Gonzalo Vargas-Castillo ,&nbsp;María Zulaika-Lloret ,&nbsp;Ricardo Ruiz-Villaverde","doi":"10.1016/j.aprim.2024.103086","DOIUrl":"10.1016/j.aprim.2024.103086","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 1","pages":"Article 103086"},"PeriodicalIF":1.8,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002282/pdfft?md5=e3b40d61b79141660ae969f7bad994f3&pid=1-s2.0-S0212656724002282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142270759","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}

{"title":"Association between dietary patterns and glycemic control in type II diabetes mellitus patients","authors":"Ye Qiang,&nbsp;Xingchen Lu,&nbsp;Yuchao Zhang","doi":"10.1016/j.aprim.2024.103075","DOIUrl":"10.1016/j.aprim.2024.103075","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the association between dietary patterns and glycemic control among patients with type II diabetes mellitus (T2DM).</p></div><div><h3>Design</h3><p>A cross-sectional study.</p></div><div><h3>Site</h3><p>The 2015–2018 National Health and Nutrition Examination Survey (NHANES).</p></div><div><h3>Participants</h3><p>A total of 1646 T2DM patients were included, of whom 854 were hyperglycemia.</p></div><div><h3>Methods</h3><p>Main dietary patterns were identified using the sparse principal components analysis (SPCA). Logistic regression analysis was applied to investigate the association between each dietary pattern and the risk of hyperglycemia with odds ratios (OR) and 95% confidence intervals (CI). SPCA analysis yielded five significant principal components (PC), which represented five main dietary patterns.</p></div><div><h3>Results</h3><p>PC1, characterized by a high intake of sweets, red meat and processed meat, was associated with higher odds of hyperglycemia in patients who underwent hyperglycemic drug or insulin treatments (OR: 1.71, 95% CI: 1.10–2.64). PC5, characterized by high in red meat, while low in coffee, sweets, and high-fat dairy consumption. The relationship between the PC5 and hyperglycemia was marginal significance (OR: 0.63, 95% CI: 0.38–1.02). PC2 was characterized by a high consumption of green vegetables, other vegetables, and whole grains, and low intake of potatoes and processed meat. In patients with the hyperglycemic drug and insulin free, higher PC2 levels were related to lower odds of hyperglycemia (OR: 0.45, 95% CI: 0.21–0.96).</p></div><div><h3>Conclusions</h3><p>High intake of sweets, red meat, and processed meat might be detrimental to glycemic control in patients with drug-treated T2DM. High in red meat, while low in coffee, sweets, and high-fat dairy consumption may be beneficial to glycemic control. In addition, high consumption of green vegetables, other vegetables, and whole grains, and low intake of potatoes and processed meat may be good for glycemic control in patients without drug-treated T2DM.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 103075"},"PeriodicalIF":1.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002178/pdfft?md5=9858548819b14dfc94ddac9a388e57cd&pid=1-s2.0-S0212656724002178-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238232","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}