Atencion Primaria最新文献

{"title":"Colecistitis aguda alitiásica por Entamoeba histolytica en lactante","authors":"Luis Ortiz González , Mahmoud Yahdhih Noh , Juan Manuel Contreras Santana","doi":"10.1016/j.aprim.2024.103176","DOIUrl":"10.1016/j.aprim.2024.103176","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 5","pages":"Article 103176"},"PeriodicalIF":1.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11714394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848056","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":"Características clínicas, sociodemográficas y evolución de los pacientes con SARS-CoV-2 en dos áreas sanitarias de Extremadura en el primer semestre de la pandemia","authors":"Manuel Tejero-Mas ,&nbsp;Alba Palmerín-Donoso ,&nbsp;Francisco Buitrago-Ramírez ,&nbsp;Francisco Luis Pérez-Caballero ,&nbsp;José Antonio Morales-Gabardino","doi":"10.1016/j.aprim.2024.103155","DOIUrl":"10.1016/j.aprim.2024.103155","url":null,"abstract":"<div><h3>Objective</h3><div>To describe clinical and sociodemographic characteristics as well as the outcome of patients infected with SARS-CoV-2 in first six months of the pandemic.</div></div><div><h3>Design</h3><div>Observational and ambispective study.</div></div><div><h3>Site</h3><div>Primary Care (two Health Areas in Extremadura).</div></div><div><h3>Participants</h3><div>A total of 1,422 patients were included (mean age 45.6 years; 53.2% women) who had the ICPC-2 diagnostic code for “confirmed SARS-CoV-2 infection” recorded in their clinical history during the first six months of the pandemic.</div></div><div><h3>Interventions</h3><div>Not necessary.</div></div><div><h3>Main measurements</h3><div>Clinical and sociodemographic characteristics as well as outcome of patients (hospital visits, admissions and mortality).</div></div><div><h3>Results</h3><div>The mean age (50.8 vs. 42.3 years, p&lt;<!--> <!-->0.001), and prevalence of most of the comorbidities, dependent patients (13.8% vs. 4.0%), and residents in social care institutions (15.4% vs. 3.1%) were higher in the Don Benito-Villanueva area than in Badajoz. The predominant age group was 19-49 years (44.4%). 41.4% of patients were actively employed, mainly in National Classification of Occupations groups 2, 5, and 9, while 16.5% were social healthcare professionals. 16.5% of patients visited the hospital, 13.4% required hospitalization. Among those who consulted in hospital emergency departments independently, 46.2% were hospitalized, compared to 78.8% of those referred from primary care (p<!--> <!-->=<!--> <!-->0.000). The overall mortality rate was 2.0% (3.1% in Don Benito-Villanueva versus 1.3% in Badajoz; p<!--> <!-->=<!--> <!-->0.016) increasing to 8.9% among hospitalized patients.</div></div><div><h3>Conclusions</h3><div>Sociodemographic and clinical differences were noted between the two health areas. Most infections were managed in primary care, while those referred to the hospital had a higher hospitalization rate.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103155"},"PeriodicalIF":1.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848148","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":"Análisis de la elección de la especialidad de Medicina Familiar y Comunitaria entre los candidatos MIR en el periodo 2020 a 2024: Índice de preferencia competitiva","authors":"Yoseba Cánovas Zaldúa ,&nbsp;Remedios Martín Álvarez ,&nbsp;Aina Mas Tena ,&nbsp;Jorge Lema Bartolomé ,&nbsp;Ermengol Coma ,&nbsp;Núria Nadal Braqué","doi":"10.1016/j.aprim.2024.103150","DOIUrl":"10.1016/j.aprim.2024.103150","url":null,"abstract":"<div><h3>Objective</h3><div>To know the degree of attraction towards Family and Community Medicine (MFyC) among MIR candidates by calculating the Competitive Preference Index (CPI) in the 2020 to 2024 calls.</div></div><div><h3>Design</h3><div>Observational study of analysis of secondary sources based on information from the website of the Ministry of Health.</div></div><div><h3>Site and participants</h3><div>The MIR squares of the 5 most populated Spanish cities were chosen.</div></div><div><h3>Interventions and Main measurements</h3><div>The construction of the CPI is based on the comparison of MFyC with each specialty, taking into account the equal opportunity to choose MFyC or another specialty, and takes into account the percentage of choice of MFyC at the time in which the choice has been finalized of that other specialty.</div></div><div><h3>Results</h3><div>In relation to the specialties of laboratories and central services, the average CPI of MFyC has been positive with respect to all specialties, in all the cities analyzed, with the exception of radiodiagnosis.</div><div>In relation to medical specialties, the CPI is positive in all the cities analyzed with respect to 8 specialties (allergology, geriatrics, occupational medicine, physical medicine and rehabilitation, preventive medicine, nephrology, radiation oncology and rheumatology).</div><div>In relation to surgical specialties, it is positive in all the cities analyzed with respect to 3 specialties (vascular surgery, cardiovascular surgery and thoracic surgery).</div></div><div><h3>Conclusions</h3><div>The MFyC specialty presents notable attractiveness among MIR candidates, since positive results are obtained in comparison with the majority of specialties, and in the majority of the cities analyzed.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103150"},"PeriodicalIF":1.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847979","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":"Percepción del teletrabajo como instrumento de mejora del burnout en médicos de familia","authors":"Luis Mifsud Grau ,&nbsp;María del Carmen de Mingo Alemany ,&nbsp;Tatiana Fernández Portillo ,&nbsp;Carmen Rubio Martinez","doi":"10.1016/j.aprim.2024.103175","DOIUrl":"10.1016/j.aprim.2024.103175","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103175"},"PeriodicalIF":1.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847447","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":"Intervalos de tiempo para el diagnóstico y tratamiento en pacientes con cáncer de mama","authors":"Blanca Sánchez Galindo ,&nbsp;Jesús López-Torres Hidalgo ,&nbsp;Ángel López González ,&nbsp;Carmen María Sánchez Martínez ,&nbsp;Marta Castaño Díaz ,&nbsp;Joseba Rabanales Sotos","doi":"10.1016/j.aprim.2024.103153","DOIUrl":"10.1016/j.aprim.2024.103153","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the delay in the diagnosis of breast cancer in primary care and to identify the patient, care process and disease variables involved in the delay to diagnosis and treatment.</div></div><div><h3>Design</h3><div>Retrospective study with follow-up of a cohort of women with breast cancer, from the first symptoms to the start of treatment.</div></div><div><h3>Site</h3><div>In total 24 family medicine practices with information from both primary care and hospital settings.</div></div><div><h3>Participants</h3><div>446 women were evaluated (period 2014-2023).</div></div><div><h3>Main measurements</h3><div>Patient characteristics (age, history and comorbidity), care process (screening, consultation site and referral priority) and disease characteristics (stage, presentation and risk factors) were included. Time intervals considered included, among others, «primary care interval», «health system interval», «diagnosis interval» and «treatment interval».</div></div><div><h3>Results</h3><div>The mean value of the «primary care interval» was 24.7<!--> <!-->days (median: 16); that of the «hospital care interval», 77.2<!--> <!-->days (median: 68); and that of the «health system interval», 93.6<!--> <!-->days (median: 83). Multiple linear regression showed a significantly shorter duration of the interval in women referred preferentially, in advanced stages, with a breast lump at presentation and with risk factors.</div></div><div><h3>Conclusions</h3><div>Most are diagnosed in early stages at the health centre. The duration of the «health system interval» is shorter in preferential referrals, when the form of presentation is a breast lump, with risk factors and in advanced stages.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103153"},"PeriodicalIF":1.8,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796615","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":"One hundred eighty days maintenance of information in basic life support training in primary education in a rural environment","authors":"Rebeca Cunha ,&nbsp;João Lopes Guedes ,&nbsp;Luiz Miguel Santiago","doi":"10.1016/j.aprim.2024.103152","DOIUrl":"10.1016/j.aprim.2024.103152","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103152"},"PeriodicalIF":1.8,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792464","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":"Análisis retrospectivo de la efectividad del programa REDUCE en diabetes, hipertensión y medidas antropométricas","authors":"Elizabeth Castro Mercado ,&nbsp;Cristian Mercado Esquivel ,&nbsp;Gloria Idaly Morales Rodriguez ,&nbsp;Paulo César Gete Palacios ,&nbsp;Aldo Ferreira-Hermosillo","doi":"10.1016/j.aprim.2024.103151","DOIUrl":"10.1016/j.aprim.2024.103151","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 5","pages":"Article 103151"},"PeriodicalIF":1.8,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787958","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":"Evaluación del nivel de satisfacción con un sistema de interconsulta telemática entre Atención Primaria y Cardiología","authors":"Noelia Fernández Villa ,&nbsp;Alberto Nieto López ,&nbsp;María Isabel Sánchez López ,&nbsp;Sergio Manzano Fernández","doi":"10.1016/j.aprim.2024.103154","DOIUrl":"10.1016/j.aprim.2024.103154","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103154"},"PeriodicalIF":1.8,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787957","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":"Falsas creencias en torno al dolor. Consejos educativos breves en la consulta de atención primaria","authors":"María Victoria García Espinosa ,&nbsp;Silvia Fernanda García Vila ,&nbsp;María Fernández de Paul ,&nbsp;Patricia Moreno Carrero ,&nbsp;Isabel Prieto Checa ,&nbsp;Gema Izquierdo Enríquez","doi":"10.1016/j.aprim.2024.103120","DOIUrl":"10.1016/j.aprim.2024.103120","url":null,"abstract":"<div><div>In chronic non-oncological pain, there is a gap between the recommendations and the usual clinical practice. To improve this situation, it is essential to address unhelpful beliefs about pain in patients and health professionals. We address cultural beliefs such as thinking that pain means damage to the tissue where it is felt, that pain originates in the area where it is perceived, that it is important to rest for the tissues to heal, or that drugs and surgery are the best treatments for pain.</div><div>First, professionals need to reflect on their own beliefs and question their own clinical practice: what do I believe about pain? Are these beliefs in line with current evidence? Do I follow the recommendations of clinical practice guidelines? In this way, by aligning their beliefs with the evidence, professionals will be able to begin to give appropriate educational advice to patients.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 12","pages":"Article 103120"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584921","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":"Tratamiento farmacológico de la diabetes mellitus tipo 2","authors":"Francisco Javier García Soidán ,&nbsp;Javier Riveiro Villanueva","doi":"10.1016/j.aprim.2024.103143","DOIUrl":"10.1016/j.aprim.2024.103143","url":null,"abstract":"<div><div>The treatment of type 2 diabetes is based on four fundamental pillars: diet, exercise, therapeutic education, and pharmacological therapy.</div><div>There are ten groups of antidiabetic drugs that can be classified according to their mechanism of action, effects on body weight, risk of hypoglycemia, and ability to reduce the development of complications.</div><div>The choice of medication will be individualized based on the preferences and characteristics of the individual, taking into consideration the presence of cardiovascular disease, heart failure, chronic kidney disease, obesity, or non-alcoholic fatty liver disease.</div><div>The type 2 diabetes mellitus treatment algorithm from the RedGDPS Foundation is an evidence-based tool that can help us select the most appropriate pharmacological therapy depending on the characteristics of each patient.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103143"},"PeriodicalIF":1.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683702","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}