Atencion Primaria最新文献

{"title":"Resumen PAPPS Infancia y Adolescencia 2024","authors":"Olga Cortés Rico,&nbsp;María Jesús Esparza Olcina,&nbsp;José Galbe Sánchez-Ventura,&nbsp;Ana Gallego Iborra,&nbsp;Ana Garach Gómez,&nbsp;Laura García Soto,&nbsp;Juan Hidalgo Sanz,&nbsp;Leyre Martí Martí,&nbsp;Carmen Rosa Pallás Alonso,&nbsp;Julia Colomer Revuelta,&nbsp;José María Mengual Gil","doi":"10.1016/j.aprim.2024.103125","DOIUrl":"10.1016/j.aprim.2024.103125","url":null,"abstract":"<div><div>In this document we present two important topics in childhood, one completely new, the promotion of reading in the first years of life, and the other is an update that continues to generate doubts and questions from Parents, caregivers and health professionals: Is it necessary to screen for iron deficiency in children under 5 years of age?</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103125"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744880","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":"Recomendaciones preventivas vasculares. Actualización PAPPS 2024","authors":"Domingo Orozco-Beltrán ,&nbsp;Carlos Brotons-Cuixart ,&nbsp;José R. Banegas ,&nbsp;Vicente F. Gil-Guillen ,&nbsp;Ana M. Cebrián-Cuenca ,&nbsp;Enrique Martín-Rioboó ,&nbsp;Ariana Jordá-Baldó ,&nbsp;Johanna Vicuña ,&nbsp;Jorge Navarro-Pérez","doi":"10.1016/j.aprim.2024.103123","DOIUrl":"10.1016/j.aprim.2024.103123","url":null,"abstract":"<div><div>The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of vascular diseases (VD) are presented. New in this edition are new sections such as obesity, chronic kidney disease and metabolic hepatic steatosis, as well as a ‘Don’t Do’ section in the different pathologies treated. The sections have been updated: epidemiological review, where the current morbidity and mortality of CVD in Spain and its evolution as well as the main risk factors are described; vascular risk (VR) and recommendations for the calculation of CV risk; main risk factors such as arterial hypertension, dyslipidemia and diabetes mellitus, describing the method for their diagnosis, therapeutic objectives and recommendations for lifestyle measures and pharmacological treatment; indications for antiplatelet therapy, and recommendations for screening of atrial fibrillation, and recommendations for management of chronic conditions. The quality of testing and the strength of the recommendation are included in the main recommendations.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103123"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744884","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":"Prevención de las enfermedades infecciosas. Actualización en vacunas PAPPS 2024","authors":"Ana Pilar Javierre Miranda ,&nbsp;Coro Sánchez Hernández ,&nbsp;Susana Martín Martín ,&nbsp;Pablo Aldaz Herce ,&nbsp;José Javier Gómez Marco ,&nbsp;Germán Schwarz Chavarri ,&nbsp;Cristina García Iglesias ,&nbsp;M. Isabel Gutiérrez Pérez ,&nbsp;M. Luisa Morató Agustí ,&nbsp;Grupo de Prevención de Enfermedades Infecciosas del PAPPS","doi":"10.1016/j.aprim.2024.103129","DOIUrl":"10.1016/j.aprim.2024.103129","url":null,"abstract":"<div><div>Vaccination throughout life is the best way to prevent infectious diseases and improve people's quality of life. As health professionals we must know the vaccine indications and guidelines as if they were any other treatment.</div><div>In the updates for this year 2024, we continue to focus on the most relevant developments in terms of indications, changes in vaccination guidelines, new vaccines incorporated into the adult calendar and even anticipating the next vaccines to be incorporated in a short period of time. We continue to insist on remembering the specific indications in risk groups, whether due to chronic diseases or immunocompromise. They are very relevant groups in which to review and complete their vaccination schedule. Nor should we forget about vaccination during pregnancy and for health workers, we must protect ourselves to protect. We have extended the chapter of vaccination for travelers, due to increasing numbers in our Primary Care consultations. And we have added a few touches of the «One Health» approach, focusing on vaccination as a tool to improve population health and contribute to the reduced use of antibiotics and thereby avoid bacterial resistance.</div><div>We have tried to summarize a large part of the document in the form of tables so that it is an agile and easy-to-consult instrument in our daily care work and we do not forget to review and complete, if necessary, the vaccination schedule of all our patients.</div><div>Although we focus on adults, due to the novelty and relevance in terms of reducing the burden of disease in infants, we have included a section on immunoprevention against respiratory syncytial virus with monoclonal antibodies and its indications for the next 2024-2025 season.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103129"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744886","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":"Prevención de los trastornos de la salud mental. Antecedentes de psicopatología en los padres y cuidadores","authors":"Francisco Buitrago Ramírez Coordinador del Grupo ,&nbsp;Ramon Ciurana Misol ,&nbsp;María del Carmen Fernández Alonso ,&nbsp;Pablo González García ,&nbsp;Lydia Salvador Sánchez ,&nbsp;Jorge Luis Tizón García ,&nbsp;Nuria Villamor Sagredo ,&nbsp;Grupo de Salud Mental del PAPPS. Actualización PAPPS 2024","doi":"10.1016/j.aprim.2024.103126","DOIUrl":"10.1016/j.aprim.2024.103126","url":null,"abstract":"<div><div>The upbringing and psychosocial development of children who live with parents with serious mental disorders (schizophrenia and delusional disorders, major depression, manic episode, suicide attempts, severe personality disorders, alcoholism or abuse of other drugs and other disorders) can be more difficult, and your quality of life, relationships, and mental health may be seriously affected. Achieving a certain knowledge in clinical practice that facilitates the collection and investigation of parents’ psychiatric history and the identification of risk factors and basic warning signs in children, represents an improvement in the capabilities of Primary Health Care (PHC) teams to integrate mental health elements into your daily practice. It is also an essential preliminary step to implement preventive interventions, at least elementary, necessary to protect the mental health of these children and future adults: that is the core of this PAPPS subprogram for the care of the mental health of children and adolescents in the case of a history of psychopathology in parents or caregivers.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103126"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744888","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":"Actividades preventivas en el mayor. Actualización PAPPS 2024","authors":"Rosa Ana García Pliego ,&nbsp;M. Canto de Hoyos Alonso ,&nbsp;Yolanda Herreros Herreros ,&nbsp;José Miguel Baena Díez ,&nbsp;Ana Gorroñogoitia Iturbe ,&nbsp;Miguel Ángel Acosta Benito ,&nbsp;Iñaki Martín Lesende ,&nbsp;Carolina Mir Sánchez","doi":"10.1016/j.aprim.2024.103132","DOIUrl":"10.1016/j.aprim.2024.103132","url":null,"abstract":"<div><div>Population aging is a global phenomenon that is increasing the proportion of older people, particularly those over 80 years old. This increase in longevity does not always translate into years of good quality of life. This document reviews the latest evidence on the main preventive activities for older adults, starting with major geriatric syndromes such as frailty, cognitive impairment, and social isolation. It evaluates direct interventions in nutrition, deprescription, and physical exercise. Additionally, for the first time, it includes an analysis of preventive activities related to suicide in older adults, coordinated with mental health promotion programs. Frailty, defined as the progressive deterioration of physiological systems, is a significant predictor of adverse health events and is considered potentially reversible, especially in its early stages. The diagnosis and management of frailty through comprehensive geriatric assessment (CGA) and the implementation of specific interventions such as multicomponent exercise, adequate nutrition, and medication review are key to improving the functionality and quality of life of older adults.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103132"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744889","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":"Impacto de la violencia de género en las niñas y las adolescentes","authors":"","doi":"10.1016/j.aprim.2024.102972","DOIUrl":"10.1016/j.aprim.2024.102972","url":null,"abstract":"<div><div>Gender is an important determinant of health. Its relationship with inequality and violence allows us to consider being a woman as a risk factor for health. Girls and teenager girls are not exempt from this circumstance, which conditions their lives from before birth and can determine their health status throughout life. It can vary according to social contexts, as various factors intersect with gender, adding risk and vulnerability to being a woman. Gender-based violence is often identified as a problem for adult women; however, the experience of discriminatory gender-based violence is constructed throughout women's lives, producing serious individual and social consequences from childhood. Accepting this violence as a «private or domestic matter» often prevents seeing the true dimension of the problem, its consequences, and the need to address it as a global issue.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102972"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185749","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":"Actividades preventivas en la mujer. Actualización PAPPS 2024","authors":"Alberto López García-Franco ,&nbsp;Pablo Alonso-Coello ,&nbsp;Ana Pereira Iglesias ,&nbsp;Cristina González Fernádez ,&nbsp;Elisa Romero Pineda ,&nbsp;Jacinta Landa Goñi ,&nbsp;Grupo de la Mujer del PAPPS","doi":"10.1016/j.aprim.2024.103131","DOIUrl":"10.1016/j.aprim.2024.103131","url":null,"abstract":"<div><div>In the 2024 PAPPS update, we present preventive activities specific to women's health, except those related to cancer prevention (which are included in another document) and aspects related to differential morbidity of gender, which is a cross-cutting element for all working groups.</div><div>Contraception is an essential preventive activity; the right to decide both the number of children that they will have and when to have them is considered basic. We must inform about contraceptive methods, guaranteeing in follow-up their safety, efficacy, and effectiveness (tables are included on changing from one method to another to preserve contraceptive protection). We must inform about emergency contraception and propose it in in the event of unprotected intercourse. We will use opportunistic screening to do this, without needing to screen for thrombophilia or dyslipidaemia, but we will screen for hypertension.</div><div>Pregnancy is a major life experience and general practitioners should not ignore it. We should be competent at both preconception consultation (recommend folic acid intake, avoiding exposure to occupational and environmental hazards, screen for certain pathologies, and assess the intake of medication not indicated during pregnancy) and during follow-up of pregnancy. Whether or not we follow-up the pregnancy, we should not fail to monitor it, taking advantage of this period to promote healthy lifestyles and manage potential intercurrent events.</div><div>Menopause in general and osteoporosis in particular exemplify the strategy of medicalising life events that has been followed by different bodies and organisations. In our update we address the prevention and treatment of symptoms secondary to oestrogen deprivation. We also propose osteoporosis prevention, including bone density scanning according to the fracture risk in the next 10 years, therefore, bone density screening is not recommended in women under 60 years of age. We recommend the FRAX tool for assessing risk, or better, measuring hip fracture risk with prevalence data from the Community of Madrid. The indication for treatment is linked to the <em>Z</em>-score (bone mineral density compared with women of the same age), since this is a condition associated with aging, and not the <em>T</em>-score, which is used to compare women of 20 years of age.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103131"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744890","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":"Prevención primaria de la violencia de género","authors":"","doi":"10.1016/j.aprim.2023.102845","DOIUrl":"10.1016/j.aprim.2023.102845","url":null,"abstract":"<div><div>Gender-based violence is a serious public health problem and a violation of human rights. The vast scale of the problem indicates that it is necessary to advance in its primary prevention. The health sector has an important role to play, especially Primary Health Care, based on its community orientation and with the involvement of all members of the team.</div><div>The intervention framework defined by the acronym “RESPECT”, promoted by the World Health Organization, shows the 7 strategies that are currently promising to lead to reductions in gender-based violence, based on the best scientific evidence available to date.</div><div>Using a participatory, life-cycle approach, promoting coordination and partnership across sectors, and implementing combined interventions are some of the guiding principles from which to work today.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102845"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467410","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":"Impacto de la atención a las víctimas de violencia de género en los y las profesionales de la salud","authors":"","doi":"10.1016/j.aprim.2023.102856","DOIUrl":"10.1016/j.aprim.2023.102856","url":null,"abstract":"<div><div>Professionals who work with women victims of gender violence face difficult emotional situations, and it is important to be aware of the emotions and feelings that the attitudes and behaviour of victims and aggressors generate in them. These emotions can become barriers to communication and seriously affect the professional's relationship with victims. Furthermore, they can generate situations of sustained stress, lead to emotional exhaustion, and affect their health, life, and work performance. We describe the consequences, risk factors and warning signs, as well as protective or resilience factors, that are important to know, and we list the current challenges and some recommendations for professionals and management in order to help prevent such effects and improve professional performance without health risks.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102856"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681979","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":"Recomendaciones de prevención del cáncer. Actualización 2024","authors":"Cruz Bartolomé-Moreno ,&nbsp;Elena Melús-Palazón ,&nbsp;Carmen Vela-Vallespín ,&nbsp;Santi Arana-Ballestar ,&nbsp;Marta Gallego ,&nbsp;Jorge Navarro ,&nbsp;Begoña Bellas-Beceiro ,&nbsp;Grupos de expertos del PAPPS","doi":"10.1016/j.aprim.2024.103128","DOIUrl":"10.1016/j.aprim.2024.103128","url":null,"abstract":"<div><div>Cancer is one of the main causes of morbidity and mortality. Environmental factors along with lifestyle: tobacco and alcohol consumption, unhealthy diet and sedentary lifestyle and lack of physical activity, are some of the risk factors that have caused an increase in cancer.</div><div>This article updates the evidence and recommendations for cancer prevention strategies through screening in asymptomatic patients, as well as early detection of signs and symptoms in medium-risk and high-risk populations.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103128"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744885","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}