Atencion Primaria最新文献

{"title":"Neuropatía diabética y su relación con la calidad de vida en pacientes con diabetes tipo 2","authors":"Jarek Ramón Arévalo Ramírez ,&nbsp;Daniela Leticia Castañón Sánchez ,&nbsp;Oscar Isaías Vargas Ordoñez ,&nbsp;Hilda Sara Camarena Velázquez ,&nbsp;María del Carmen Aguirre García ,&nbsp;Mónica Catalina Osorio Granjeno","doi":"10.1016/j.aprim.2026.103454","DOIUrl":"10.1016/j.aprim.2026.103454","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the association between diabetic neuropathy (DN) and quality of life (QoL) in patients with type 2 diabetes mellitus (DM2).</div></div><div><h3>Setting</h3><div>Family Medicine Unit No. 33 (UMF 33), El Rosario, Azcapotzalco, Mexico City, Mexico.</div></div><div><h3>Design</h3><div>Observational, analytical, cross-sectional.</div></div><div><h3>Participants</h3><div>365 participants aged 18 years or older with a diagnosis of DM2, ascribed to a specialized diabetes care program.</div></div><div><h3>Measurements</h3><div>A sociodemographic questionnaire and two standardized instruments were applied: the Michigan Neuropathy Screening Instrument (MNSI), in its questionnaire (MNSIQ) and physical examination (MNSIEF) components and the SF-12v2 questionnaire to assess QoL through its physical (PCS) and mental (MCS) components. Frequencies and percentages were analyzed. The chi-square test was used for inferential statistics.</div></div><div><h3>Results</h3><div>According to the MNSIQ, 35.6% presented signs of ND, while the MNSIEF it was detected in 99.2% of the participants. 59.5% reported good physical QoL, while 61.4% reported poor mental QoL. Although descriptive differences were notable, the statistical power was limited to demonstrate consistent associations between ND and QoL.</div></div><div><h3>Conclusions</h3><div>The findings suggest a discordance between patient self-perception and physical examination. ND could have a negative impact on QoL, especially on the mental component (MCS). Active screening for ND in primary care settings may enhance comprehensive care and improve perceived well-being in people with DM2.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 5","pages":"Article 103454"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salud Planetaria desde una perspectiva de prevención y promoción de la salud","authors":"María del Campo Giménez ,&nbsp;Hadasa Gallor Bohórquez ,&nbsp;Ana Egea-Ronda ,&nbsp;Francisco Camarelles Guillem ,&nbsp;Lucía Jiménez Ochando","doi":"10.1016/j.aprim.2025.103373","DOIUrl":"10.1016/j.aprim.2025.103373","url":null,"abstract":"<div><div>Planetary health, understood as the achievement of the maximum level of health, well-being and equity, respecting the limits of the planet's natural systems, is a concept that has acquired great relevance, given the context of climate and environmental emergency in which we find ourselves. Knowing the impact of our lifestyles on the health of the planet will provide us with additional arguments that can motivate individuals and populations to opt for more sustainable and healthy choices. As specialists in Family and Community Medicine and thanks to the continuous presence of prevention and health promotion in Primary Care, we have the opportunity to advise patients on the benefits and importance of their daily choices in improving their own health and the environment.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103373"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mismo año, distinta fuente: variabilidad en las estimaciones de prevalencia de exposición al humo ambiental de tabaco en España","authors":"Julia Rey-Brandariz ,&nbsp;Ana Blanco-Ferreiro ,&nbsp;María Isolina Santiago-Pérez ,&nbsp;Anna Schiaffino ,&nbsp;Carla Guerra-Tort ,&nbsp;Mónica Pérez-Ríos","doi":"10.1016/j.aprim.2025.103403","DOIUrl":"10.1016/j.aprim.2025.103403","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to assess the variability in the prevalence of secondhand smoke (SHS) exposure in Spain estimated from different sources.</div></div><div><h3>Design</h3><div>Study comparing the prevalence of exposure to SHS using survey data.</div></div><div><h3>Location</h3><div>Spain, with specific analysis in Galicia and Catalonia.</div></div><div><h3>Participants</h3><div>General population aged 16 and over included in the following surveys: National Health Survey (NHS), Galicia Risk Behavior Information System (SICRI), and Health Survey of Catalonia (ESCA), corresponding to six editions of each.</div></div><div><h3>Interventions</h3><div>Questions assessing exposure to SHS were selected from the NHS, SICRI and ESCA.</div></div><div><h3>Main measures</h3><div>Prevalence of SHS exposure as estimated after homogenizing the definition of exposure. To compare the prevalences estimated with two sources, the absolute differences between them were calculated together with their 95% confidence interval (95%<span>C</span>I).</div></div><div><h3>Results</h3><div>In Galicia, when comparing ENSE and SICRI, the absolute differences in SHS exposure prevalences exceeded 10 percentage points in five of six editions. In Catalonia, when comparing ENSE and ESCA, the differences ranged from 1.5 to 14.2 points. The 95%CI analysis of the absolute differences showed that for Galicia and Catalonia the differences were significant in four and five of the six years compared, respectively.</div></div><div><h3>Conclusions</h3><div>In Spain, large differences are observed in the estimation of SHS exposure prevalence depending on the data source. These differences are greater the less specific the area studied. The regional surveys reflect higher prevalences of exposure to SHS.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103403"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between smoking and chronic low back pain among medical students","authors":"Amar Kasim Almajidy,&nbsp;Zahraa Muhammed Jaleel,&nbsp;Safa Ahmed Ibrahim,&nbsp;Maryam Loay Jabbar","doi":"10.1016/j.aprim.2025.103414","DOIUrl":"10.1016/j.aprim.2025.103414","url":null,"abstract":"<div><h3>Introduction</h3><div>On account of their demanding academic environment chronic low back (CLBP) is a common musculoskeletal disorder among medical students, which is particularly worrying. Smoking is a risk factor that is known to cause various health issues, and has been associated with CLBP, but the specific relationship between smoking and chronic low back pain has still not been well explored.</div></div><div><h3>Objective</h3><div>This study aims to investigate the association between smoking and chronic low back pain among medical students in Iraq.</div></div><div><h3>Design</h3><div>A descriptive cross-sectional design was employed, involving face-to-face interviews with 200 medical students aged 18 years and older. Data were collected on the demographic characteristics, smoking behaviors, and chronic pain experiences, using a pre-designed questionnaire. Statistical analysis was performed using SPSS (version 25) and employing chi-square tests to assess the association between the smoking status and chronic low back pain.</div></div><div><h3>Site</h3><div>Baghdad University, College of Medicine.</div></div><div><h3>Participants</h3><div>Two hundred medical students aged 18 years and older.</div></div><div><h3>Interventions</h3><div>No intervention.</div></div><div><h3>Main measurements</h3><div>Demographic characteristics, smoking behaviors, and chronic pain experiences.</div></div><div><h3>Results</h3><div>A significant proportion of students (51%) reported smoking currently, with cigarettes being the most commonly used product. The prevalence of CLBP was 64%, with an average pain severity of 4.6 (±1.61). Notably, among smokers, 81 individuals reported experiencing CLBP compared to 47 non-smokers (<em>p</em> <!-->=<!--> <!-->0.0001), indicating a strong association between smoking and the presence of CLBP.</div></div><div><h3>Conclusion</h3><div>The findings highlight a significant association between smoking and CLBP among medical students, emphasizing the need for targeted interventions to address smoking cessation and the prevention of CLBP in this high-risk population. Further research is warranted to explore the underlying mechanisms and develop effective strategies for improving student health and well-being.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103414"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un artículo pionero: nuevas líneas de investigación en la experiencia del paciente en ecografía clínica","authors":"Inés María Fernández-Guerrero,&nbsp;Luis Contreras Briones,&nbsp;Celia Adriana Fignani Molina","doi":"10.1016/j.aprim.2025.103352","DOIUrl":"10.1016/j.aprim.2025.103352","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103352"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiencia clínica con el uso de fórmulas para la alergia a proteínas de leche de vaca en consultas de Pediatría","authors":"Carolina Rubio-Jovani,&nbsp;en representación de los participantes del estudio NOVA-ALLERGY","doi":"10.1016/j.aprim.2025.103348","DOIUrl":"10.1016/j.aprim.2025.103348","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the use of extensively hydrolyzed formulas (eHF) and hydrolyzed rice formulas (HRF) for the management of cow's milk protein allergy (CMPA) in Pediatric consultations from Primary Care of Spain, paying special attention to their impact on digestive symptoms.</div></div><div><h3>Design</h3><div>NOVA-ALLERGY was an ecological, descriptive, and multicenter study of national scope.</div></div><div><h3>Location</h3><div>Pediatric consultations from Primary Care across 17 Autonomous Communities in Spain.</div></div><div><h3>Participants</h3><div>300 healthcare professionals (Pediatrics or Family Medicine).</div></div><div><h3>Interventions</h3><div>Specifically designed questionnaire.</div></div><div><h3>Main measurements</h3><div>The aggregated data derived from the experience of the healthcare professionals on their last 6 infants they attended in their consultations with suspicion or diagnosis of CMPA and received an eHF and/or HRF for its management.</div></div><div><h3>Results</h3><div>Infants prescribed an eHF or HRF as the first option were predominantly between 0 and 6<!--> <!-->months of age and had mild-moderate symptom severity. Main symptoms of CMPA were digestive. At the follow-up visit, infants showed an improvement of the digestive symptoms, such as blood in stools, food refusal, dysphagia, diarrhea, vomiting, colic, abdominal distension, or frequent regurgitation.</div></div><div><h3>Conclusions</h3><div>In accordance with recommendations from clinical guidelines, eHFs are the first treatment option for mild and moderate cases of CMPA. Nevertheless, this present study also confirms the use of HRFs as first treatment option. Both eHFs and HRFs are associated with an improvement of the digestive symptoms in CMPA.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103348"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proceso perinatal: salud mental y apoyo en pareja","authors":"Aldo Medina Gamero","doi":"10.1016/j.aprim.2025.103420","DOIUrl":"10.1016/j.aprim.2025.103420","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103420"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intoxications and knowledge about toxicological information centers in undergraduate students in the state of Jalisco, Mexico","authors":"Eduardo Rojas-Prado ,&nbsp;Mónica A. Hernández-Pérez ,&nbsp;Alan O. Vázquez-Alvarez ,&nbsp;Selene G. Huerta-Olvera","doi":"10.1016/j.aprim.2025.103426","DOIUrl":"10.1016/j.aprim.2025.103426","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103426"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contraceptive methods: Knowledge and factors influencing their choice among women of reproductive age—A cross-sectional study in Portugal","authors":"Séfora Rua ,&nbsp;Carlos Cardoso ,&nbsp;Inês Silva","doi":"10.1016/j.aprim.2025.103381","DOIUrl":"10.1016/j.aprim.2025.103381","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the knowledge women of reproductive age have about contraceptive methods and identify factors influencing both knowledge and method selection.</div></div><div><h3>Design</h3><div>Descriptive, analytical, cross-sectional, observational study, conducted between November 2024 and April 2025.</div></div><div><h3>Setting</h3><div>Community and primary healthcare level in Portugal, particularly in the central region.</div></div><div><h3>Participants</h3><div>490 women aged 15–49 living in Portugal. Inclusion: menstruated. Recruitment was via social media and health centers. No dropouts were recorded.</div></div><div><h3>Main measures</h3><div>Knowledge of contraceptive methods, method usage and influencing factors, assessed via a structured, validated questionnaire.</div></div><div><h3>Results</h3><div>The most known methods were the pill and male condom. Only 24.3% correctly identified the most effective methods. Regarding STI protection, 91.6% answered correctly. Most used methods were the pill and male condom. Safety and effectiveness were the most valued criteria. Medical advice was highly influential. Statistically significant associations were found between sociodemographic factors and knowledge/choice.</div></div><div><h3>Conclusions</h3><div>Despite high general knowledge, gaps remain regarding effectiveness. Educational strategies and counseling, especially during family planning consultations, are essential to improve contraceptive literacy and reduce unplanned pregnancies.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103381"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salud planetaria: el rol ineludible de la medicina de familia","authors":"Gisela Galindo Ortega ,&nbsp;María del Campo Giménez ,&nbsp;Beatriz Gutiérrez Muñoz ,&nbsp;Miriam Navarro Beltrá ,&nbsp;María Cristina Almécija Pérez","doi":"10.1016/j.aprim.2025.103326","DOIUrl":"10.1016/j.aprim.2025.103326","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103326"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}