Atencion PrimariaPub Date : 2024-06-13DOI: 10.1016/j.aprim.2024.102994
Ana Moragas , Carolina Sarvisé , Frederic Gómez , Ester Picó-Plana , Silvia Crispi , Carl Llor
{"title":"Duration of severe and moderate symptoms in pharyngitis by cause","authors":"Ana Moragas , Carolina Sarvisé , Frederic Gómez , Ester Picó-Plana , Silvia Crispi , Carl Llor","doi":"10.1016/j.aprim.2024.102994","DOIUrl":"10.1016/j.aprim.2024.102994","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to assess the cause of acute pharyngitis and determine the duration of severe and moderate symptoms based on the aetiology.</p></div><div><h3>Design</h3><p>Prospective observational study.</p></div><div><h3>Site</h3><p>One urban health care centre.</p></div><div><h3>Participants</h3><p>Patients aged 15 or older with acute pharyngitis were included.</p></div><div><h3>Interventions</h3><p>Bacterial identification was carried out in the microbiology lab using MALDI-TOF in two throat samples. Patients received a symptom diary to return after one week.</p></div><div><h3>Main measurements</h3><p>Number of days with severe symptoms, scoring 5 or more in any of the symptoms included in the symptom diary, and moderate symptoms, scoring 3 or more.</p></div><div><h3>Results</h3><p>Among the 149 patients recruited, beta-haemolytic streptococcus group A (GABHS) was the most common aetiology. Symptoms and signs alone as well as the mean Centor score cannot distinguish between GABHS and other bacterial causes in patients with acute pharyngitis. However, there was a trend indicating that infections caused by <em>Streptococcus dysgalactiae</em> and <em>Streptococcus agalactiae</em> presented more severe symptoms, whereas infections attributed to the <em>Streptococcus anginosus</em> group, <em>Fusobacterium</em> spp., and those where oropharyngeal microbiota was isolated tended to have milder symptoms. <em>S. dysgalactiae</em> infections showed a trend towards longer severe and moderate symptom duration.</p></div><div><h3>Conclusion</h3><p>GABHS was the most prevalent, but group C streptococcus caused more severe and prolonged symptoms.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102994"},"PeriodicalIF":2.5,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001367/pdfft?md5=1d6188ec094b5aa3c6df10f08e9e2125&pid=1-s2.0-S0212656724001367-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322037","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}
Atencion PrimariaPub Date : 2024-06-08DOI: 10.1016/j.aprim.2024.103004
Francisco Camarelles Guillem , Vidal Barchilon Cohen , Asensio López Santiago , Remedios Martin Álvarez
{"title":"25 años de la Semana Sin Humo semFYC (2000-2024)","authors":"Francisco Camarelles Guillem , Vidal Barchilon Cohen , Asensio López Santiago , Remedios Martin Álvarez","doi":"10.1016/j.aprim.2024.103004","DOIUrl":"https://doi.org/10.1016/j.aprim.2024.103004","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 7","pages":"Article 103004"},"PeriodicalIF":2.5,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021265672400146X/pdfft?md5=ebeb07f68594563b39bcecbc9c69c79a&pid=1-s2.0-S021265672400146X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294772","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":"Abordaje de la salud mental del migrante y de la mutilación genital femenina en atención primaria","authors":"Consuelo (Rou) Sánchez Collado , Ethel Sequeira-Aymar , Carme Saperas Pérez , Silvia Barro Lugo , Federica Gutierrez de Quijano Miceli , Núria Barlam Torres","doi":"10.1016/j.aprim.2024.102957","DOIUrl":"10.1016/j.aprim.2024.102957","url":null,"abstract":"<div><p>Mental Health (MH) and Female Genital Mutilation (FGM) are two aspects of migrant health that should be addressed and screened in primary care. These topics are inherently sensitive, often challenging and difficult to approach in routine consultations. Providing comprehensive care and management needs both knowledge and a careful approach, yet these factors may sometimes result in low screening of both health issues.</p><p>Migration itself does not inherently lead to MH disorders. However, the various experiences encountered throughout the migration process can contribute to MH challenges. Migrants face the same issues as the rest of the population, but their expressions may differ. Therefore, it is important to understand the cultural contexts and create a supportive environment within healthcare to effectively address both MH and FGM.</p><p>FGM is a serious health issue for girls and women that should be assessed in primary care. This includes prevention for at-risk girls, support and care for affected women and community initiatives. To engage with individuals from high-risk countries, both men and women is essential to facilitate change and help to end this harmful practice.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102957"},"PeriodicalIF":2.5,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724000994/pdfft?md5=cf541c35045d0f99fa586548dc897e12&pid=1-s2.0-S0212656724000994-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185068","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}
Atencion PrimariaPub Date : 2024-05-30DOI: 10.1016/j.aprim.2024.102978
Angel Rosales , Lilian Mendoza , Inka Miñambres
{"title":"Estrategias para la prevención y el tratamiento no farmacológico de la obesidad. Modelos de atención","authors":"Angel Rosales , Lilian Mendoza , Inka Miñambres","doi":"10.1016/j.aprim.2024.102978","DOIUrl":"10.1016/j.aprim.2024.102978","url":null,"abstract":"<div><p>The prevalence of obesity has increased in recent years worldwide. In this context, strategies for management obesity in primary care are essential. The first step in the treatment of obesity are lifestyle intervention programs. The three pillars of these programs, ideally of high intensity (high frequency of visits), are dietary intervention, exercise and behavioral therapy. There is no universal model of care for patients with obesity, but it must take into account key aspects, such as facilitating the access and adherence of the patient and a multidisciplinary and coordinated care among professionals at different levels of healthcare. The components of the model of care and its format should be defined according to the resources available and the characteristics of the population to be treated.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102978"},"PeriodicalIF":2.5,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001203/pdfft?md5=4b2b55aec3ed298f3c85f2eb4d0a488f&pid=1-s2.0-S0212656724001203-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185070","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}
Atencion PrimariaPub Date : 2024-05-29DOI: 10.1016/j.aprim.2024.102975
Raisa Maria Iconareasa Sugeac , Rosa Coll
{"title":"Uso juicioso de los smartphones en las consultas de atención primaria","authors":"Raisa Maria Iconareasa Sugeac , Rosa Coll","doi":"10.1016/j.aprim.2024.102975","DOIUrl":"10.1016/j.aprim.2024.102975","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 9","pages":"Article 102975"},"PeriodicalIF":2.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001173/pdfft?md5=d2da7e2c7924f5ebb65cf13be48d5aa7&pid=1-s2.0-S0212656724001173-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181517","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}
Atencion PrimariaPub Date : 2024-05-29DOI: 10.1016/j.aprim.2024.102976
Yi-ni Ma , Li-xiang Zhang , Li-li Zhao , Tian-lu Shi
{"title":"Correlation between self-efficacy and readiness to return to work in patients with type 2 diabetes mellitus","authors":"Yi-ni Ma , Li-xiang Zhang , Li-li Zhao , Tian-lu Shi","doi":"10.1016/j.aprim.2024.102976","DOIUrl":"https://doi.org/10.1016/j.aprim.2024.102976","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 8","pages":"Article 102976"},"PeriodicalIF":2.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001185/pdfft?md5=c27282395bf2e013a35d60d1e3fb3c14&pid=1-s2.0-S0212656724001185-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141163448","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}
Atencion PrimariaPub Date : 2024-05-29DOI: 10.1016/j.aprim.2024.102962
Evelyn Del Socorro Auqui-Saavedra, Katherin Jhosely Barzola-Rafael, Luis Alexander Orrego-Ferreyros
{"title":"Dependencia funcional y salud oral en adultos mayores: un estudio transversal con oficiales de policía retirados","authors":"Evelyn Del Socorro Auqui-Saavedra, Katherin Jhosely Barzola-Rafael, Luis Alexander Orrego-Ferreyros","doi":"10.1016/j.aprim.2024.102962","DOIUrl":"10.1016/j.aprim.2024.102962","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 9","pages":"Article 102962"},"PeriodicalIF":2.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001045/pdfft?md5=b4d6fd11a631d346ae63b766dd00c880&pid=1-s2.0-S0212656724001045-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181514","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}