Atencion Primaria最新文献_第3页

Factibilidad, fiabilidad y validez del cuestionario VIG-express como instrumento de valoración multidimensional/geriátrica rápida: estudio multicéntrico [将 VIG-Express 问卷作为快速多维老年评估工具的可行性、可靠性和有效性：一项多中心研究]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-24 DOI: 10.1016/j.aprim.2024.103108

{"title":"Factibilidad, fiabilidad y validez del cuestionario VIG-express como instrumento de valoración multidimensional/geriátrica rápida: estudio multicéntrico","authors":"","doi":"10.1016/j.aprim.2024.103108","DOIUrl":"10.1016/j.aprim.2024.103108","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the feasibility, reliability and validity of the VIG-express questionnaire.</div></div><div><h3>Design</h3><div>Descriptive, observational, cross-sectional and multicenter study.</div></div><div><h3>Setting</h3><div>Catalonia.</div></div><div><h3>Participants</h3><div>24 professionals from 18 centers: 10 from Primary Care, 5 from hospitals acute, 2 intermediate care and 3 residential.</div></div><div><h3>Main measurements</h3><div>For the feasibility analysis, the administration time -mean and standard deviation (SD)-. The questionnaire was administered twice to the same patient by the same professional (intraobserver agreement), or by two different professionals (interobserver agreement), evaluating the intraclass correlation coefficient (ICC). Discriminant validity was calculated by comparing the responses of subgroup with higher fragility (percentile >75) and subgroup with lower fragility (percentile <25), for each item of the questionnaire.</div></div><div><h3>Results</h3><div>195 questionnaires were administered, 59 repeatedly, in a group of elderly (mean age of 79 years) and fragile (mean score of 0.33 in the Fragile Index-VIG). The average administration time was 6.52minutes (DE: 6.02). The concordance in the degree of fragility score obtained a ICC of 0.95 (intraobserver) and 0.72 (interobserver). In discriminant validity, the differences in response frequencies between the two subgroups ranged from 1.7 (oncological disease) to 67.1 (medication management), all of which were statistically significant (p<0.05), with the sole exceptions of the presence of oncological and neurological diseases.</div></div><div><h3>Conclusions</h3><div>The VIG-express questionnaire appears to be a feasible, reliable and valid tool for rapid multidimensional/geriatric assessment.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513430","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

Recomendaciones «No hacer» en el síndrome de fibromialgia [纤维肌痛综合征 "不做 "的建议]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-24 DOI: 10.1016/j.aprim.2024.103115

引用次数: 0

Vacunación gripe-COVID-19: juntos, pero no revueltos [流感-COVID-19 疫苗接种：一起接种，但不能混合接种]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-22 DOI: 10.1016/j.aprim.2024.103107

引用次数: 0

Los problemas del tutor MIR siguen esperando solución [MIR 导师的问题仍有待解决]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-19 DOI: 10.1016/j.aprim.2024.103122

引用次数: 0

Signos cutáneos «sincrónicos» clásicos en una paciente con dermatomiositis amiopática [一名肌病性皮肌炎患者的典型同步皮肤症状］

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-19 DOI: 10.1016/j.aprim.2024.103111

引用次数: 0

Impact of COVID-19 on the prevalence of dyslipidemia in Ecuador: A cross-sectional study between 2017 and 2022 COVID-19 对厄瓜多尔血脂异常患病率的影响：2017年至2022年横断面研究。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-18 DOI: 10.1016/j.aprim.2024.103007

{"title":"Impact of COVID-19 on the prevalence of dyslipidemia in Ecuador: A cross-sectional study between 2017 and 2022","authors":"","doi":"10.1016/j.aprim.2024.103007","DOIUrl":"10.1016/j.aprim.2024.103007","url":null,"abstract":"<div><h3>Objective</h3><div>To determine changes in the prevalence of dyslipidemias during the pre-COVID-19 and COVID-19 years in three regions of Ecuador.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Site</h3><div>Quito, Guayaquil, and El Coca.</div></div><div><h3>Participants</h3><div>Adults with cholesterol, HDL, LDL, and triglyceride levels at primary care centers from January 2017 to December 2022.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main measurements</h3><div>Data were obtained from five BIODIMED primary care centers. Cholesterol, HDL, LDL, and triglyceride levels were classified according to the ATP III guidelines. Dyslipidemia was considered present when one or more parameters exceeded specific thresholds. Sociodemographic variables and the year of examination were included as independent variables.</div></div><div><h3>Results</h3><div>The study analyzed 110,521 participants’ laboratory results, where 65.3% were males and an average age of 38±12 years. The study spanned the Andean (72.4%), Coast (15.4%), and Amazonic region (12.3%). Pre-pandemic exams constituted 60.9% of the sample. The prevalence of dyslipidemia increased gradually from 43.1% in 2017 to 64.1% in 2022. Cholesterol levels, HDL, and LDL exhibited changes during the pandemic, with an increased risk of hypercholesterolemia, low HDL, and high LDL.</div></div><div><h3>Conclusions</h3><div>During the COVID-19 pandemic, a notable increase in the prevalence of dyslipidemias, including hypercholesterolemia, high triglycerides, and high LDL, was determined across three regions in Ecuador.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481602","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

Desafíos y oportunidades: la telemedicina en la práctica sanitaria actual 挑战与机遇：当今医疗实践中的远程医疗

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-16 DOI: 10.1016/j.aprim.2024.102991

引用次数: 0

Necesidades formativas de los médicos de atención primaria respecto al deseo de adelantar la muerte 初级保健医生在希望提前死亡方面的培训需求

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-16 DOI: 10.1016/j.aprim.2024.103050

引用次数: 0

Creencias de profesionales de Atención Primaria frente a personas con conductas suicidas: un estudio cualitativo 初级保健专业人员对有自杀行为者的看法：一项定性研究。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-15 DOI: 10.1016/j.aprim.2023.102839

{"title":"Creencias de profesionales de Atención Primaria frente a personas con conductas suicidas: un estudio cualitativo","authors":"","doi":"10.1016/j.aprim.2023.102839","DOIUrl":"10.1016/j.aprim.2023.102839","url":null,"abstract":"<div><div>In Chile, suicide is a public health problem. The National Suicide Prevention Program has influenced the stabilization of suicide rates and considers as one of its components the training of primary care professionals in addressing suicidal behavior. It has been shown that the way in which professionals approach the phenomenon has a high influence on the implementation of preventive measures. The objective of this qualitative descriptive study. is to explore the beliefs of primary care professionals regarding people with suicidal behavior. It was developed in 3family health centers in Santiago de Chile with fourteen health professionals participants. Semi-structured interviews were carried out. The data were analyzed according to the procedures proposed by Grounded Theory. The beliefs of the participating professionals regarding suicidal behavior are grouped into (1) validation of suicidal behavior and (2) suicidal behavior should not be judged. A frequent ambivalence of the participants between these 2elements stands out, which makes it difficult for them to consider a single professional position regarding suicide. The beliefs reflect a relativization of the value of life, and ambivalent beliefs regarding the voluntary end of life, based on value judgments regarding suicide. The results can serve to guide future training for health teams in addressing suicidal behaviors.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442764","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

Primary care referral causes and final neurodevelopmental diagnosis: Do they match? 初级保健转诊原因和最终神经发育诊断：它们相符吗？

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-09 DOI: 10.1016/j.aprim.2023.102832

引用次数: 0