Atencion Primaria最新文献

{"title":"¿Es viable el modelo de realización de actividades preventivas en atención primaria en el contexto actual?","authors":"Rosa María Añel Rodríguez , Asensio López Santiago , Verónica Casado Vicente","doi":"10.1016/j.aprim.2026.103461","DOIUrl":"10.1016/j.aprim.2026.103461","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103461"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168088","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":"County-specific HPV epidemiology and risk factors in remote Northwestern China: A community-based study","authors":"Tali Hayuehashi , Yan Wang","doi":"10.1016/j.aprim.2025.103417","DOIUrl":"10.1016/j.aprim.2025.103417","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103417"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039278","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":"Atención primaria ante la epidemia de obesidad y diabetes: un reto integral y preventivo","authors":"Teresa Lagrú Romero , Cinthya Lorena Machado Pérez","doi":"10.1016/j.aprim.2025.103330","DOIUrl":"10.1016/j.aprim.2025.103330","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103330"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031685","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":"Trombosis venosa superficial, una imagen necesaria","authors":"David Morena López , Laura Calvo Carrasco , María Morena López","doi":"10.1016/j.aprim.2025.103338","DOIUrl":"10.1016/j.aprim.2025.103338","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103338"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031696","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":"Inteligencia artificial y desinformación en salud: la necesidad de reeducación desde la atención primaria","authors":"Valle Coronado-Vázquez ,&nbsp;Regina Allande-Cussó ,&nbsp;Rafael A. Caparrós-González ,&nbsp;Juan Gómez-Salgado","doi":"10.1016/j.aprim.2026.103460","DOIUrl":"10.1016/j.aprim.2026.103460","url":null,"abstract":"<div><div>The use of generative artificial intelligence (AI) is transforming the way people access health information, offering great opportunities but also posing risks related to misinformation. Its impact is particularly evident among individuals with low digital or health literacy, which may exacerbate existing inequalities. A review of recent literature highlights the need for an ethical and critical approach to AI use, driven by Primary Care as a key space for trust and education. Healthcare professionals, together with patients and the community, should engage in training strategies and programs that promote the responsible use of these tools. Although AI enhances accessibility and informational efficiency, it also requires constant oversight to prevent biases and errors. Primary Care is positioned as the central axis for leading an ethical and equitable use of this technology.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103460"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214964","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":"La mirada del alumnado de medicina hacia la tutorización longitudinal en atención primaria","authors":"Yoseba Cánovas Zaldúa ,&nbsp;Francesc Alòs ,&nbsp;Silvia Güell Parnau ,&nbsp;Raquel Gayarre Aguado","doi":"10.1016/j.aprim.2025.103394","DOIUrl":"10.1016/j.aprim.2025.103394","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103394"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982019","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":"Inicio de lactancia materna y contacto piel con piel en países de Latinoamérica","authors":"Karina Gutiérrez-Fragoso ,&nbsp;Clara Luz Sampieri","doi":"10.1016/j.aprim.2025.103429","DOIUrl":"10.1016/j.aprim.2025.103429","url":null,"abstract":"<div><h3>Objective</h3><div>To assess whether there is an association between immediate skin-to-skin contact (ISSC) and breastfeeding in the first hour of life (BF1H). This study also determined the association of other factors, such as prenatal and delivery care, with initiating BF1H.</div></div><div><h3>Design</h3><div>Retrospective and observational using data from the UNICEF Multiple Indicator Cluster Survey (MICS). UNICEF databases from Mexico, Costa Rica, Cuba, the Dominican Republic, Honduras, and Argentina were employed. Participants were women (15-49 years) and their infants.</div></div><div><h3>Results</h3><div>In all countries, the lack of ISSC was associated with not initiating BF1H. In Cuba, Argentina, Costa Rica, Honduras, and the Dominican Republic, lack of prenatal care, cesarean delivery, introduction of commercial infant formula (CIF) within 3 days of life, and failure to observe breastfeeding within 2 days of life were associated with not initiating BF1H. In Mexico, introduction of CIF within 3 days of life was associated with not initiating BF1H.</div></div><div><h3>Conclusions</h3><div>Regardless of the health context and the MICS survey period, CIF was associated with the initiation of breastfeeding in all countries. In all countries, failure to initiate BF1H was associated with the introduction of CIF in the first 3 days of life. These findings may support the planning of interventions to promote breastfeeding.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103429"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138081","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":"Validación del cuestionario de calidad relacional y profesional QRP-45: una nueva herramienta conversacional para una nueva cultura de amabilidad integral en el ámbito sanitario","authors":"Salvador García-Sánchez ,&nbsp;Sara Fernández LLull ,&nbsp;Gemma Rodriguez Fuertes ,&nbsp;Nuria Prat ,&nbsp;Carmen Cabezas ,&nbsp;Josep Vidal-Alaball","doi":"10.1016/j.aprim.2025.103418","DOIUrl":"10.1016/j.aprim.2025.103418","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study is to psychometrically validate the QRP-45 questionnaire to use it in participatory <em>survey-feedback</em> processes in Primary Care Centres.</div></div><div><h3>Design</h3><div>Cross-sectional psychometric validation study.</div></div><div><h3>Setting</h3><div>Primary Care Centres in Central Catalonia.</div></div><div><h3>Participants</h3><div>Healthcare professionals from the primary care centers and professionals from the central support services of the Institut Català de la Salut (ICS), within the Gerència de Atenció Primària i a la Comunitat de la Catalunya Central.</div></div><div><h3>Interventions</h3><div>Implementation of the QRP-45 questionnaire as part of an intervention aimed at developing organisational culture through four interconnected phases: discover, yearn, act and anchor. The questionnaire was applied in the first and second phases.</div></div><div><h3>Main Measurements</h3><div>Psychometric evaluation including content analysis (I-CVI and S-CVI-Ave indices), construct validity (exploratory factor analysis), criterion validity (convergent, discriminant, and predictive validity), consistency (Cronbach's alpha and McDonald's omega) and reliability (intraclass correlation coefficient).</div></div><div><h3>Results</h3><div>The analyses indicate that the QRP-45 has adequate reliability and factorial validity, making it a useful tool for measuring relational and professional quality in healthcare settings. Some limitations and areas for improvement were identified for its interpretation and future development.</div></div><div><h3>Conclusions</h3><div>The QRP-45 is a suitable and useful questionnaire for use in organisational improvement processes through <em>survey-feedback</em> in Primary Care, contributing to the evaluation of relational and professional quality in this context.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103418"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981525","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":"Cómo hacer el seguimiento de la prediabetes y pacientes en riesgo de diabetes. A propósito de la validez de las pruebas diagnósticas","authors":"Miguel Angel Maria Tablado","doi":"10.1016/j.aprim.2025.103346","DOIUrl":"10.1016/j.aprim.2025.103346","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103346"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031715","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":"Therapeutic approach with fatty acids in psoriasis: A systematic review","authors":"Odylon Kleber Pereira de Souza ,&nbsp;Millenny Lohanne da Silva Lisboa ,&nbsp;Aline Teixeira Alves ,&nbsp;Liana Barbaresco Gomide Matheus ,&nbsp;Marianne Lucena da Silva ,&nbsp;Katiane da Costa Cunha","doi":"10.1016/j.aprim.2025.103332","DOIUrl":"10.1016/j.aprim.2025.103332","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to evaluate the clinical impacts of topical and/or oral administration of compounds rich in omega-3 fatty acids from various sources, such as oils and foods, on psoriatic lesions.</div></div><div><h3>Design</h3><div>A systematic review was carried out. Data sources: Searches were conducted in six databases (PubMed, Cochrane, VHL, Scopus, Embase, and Web of Science) using descriptors related to fatty acids and psoriasis.</div></div><div><h3>Study selection</h3><div>Inclusion criteria were studies published in the last 10 years (2013–2023) that involved patients with psoriasis and provided quantitative clinical outcome data, such as psoriasis severity scale.</div></div><div><h3>Data extraction</h3><div>Two independent reviewers carried out the initial screening of the titles and abstracts identified in the search. The quality of studies was evaluated using the Newcastle-Ottawa Scale, the Risk of Bias in Randomized Studies of Interventions, and the Joanna Briggs Institute critical appraisal checklist.</div></div><div><h3>Results</h3><div>Out of 8570 articles identified, 9 met the inclusion criteria. The quality of randomized clinical trials and observational studies varied from low to high risk of bias, according to the respective parameters of each checklist.</div></div><div><h3>Conclusions</h3><div>Most studies demonstrated that the topical and/or oral administration of omega-3 fatty acids from different sources significantly improved clinical parameters, as measured by severity scales and the Psoriasis Area and Severity Index (PASI).</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103332"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145957831","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}