Atencion Primaria最新文献_第5页

Comprendiendo la inseguridad alimentaria en familias rurales: un estudio de caso en Pueblo Nuevo (Córdoba, Colombia) [了解农村家庭的粮食不安全状况：哥伦比亚科尔多瓦 Pueblo Nuevo 案例研究]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-28 DOI: 10.1016/j.aprim.2024.103109

Deiby Luz Pertuz-Guzmán , Linda María Chams-Chams , Nydia Nina Valencia-Jiménez , Jorge Arrieta-Díaz , Jaime Luna-Carrascal

{"title":"Comprendiendo la inseguridad alimentaria en familias rurales: un estudio de caso en Pueblo Nuevo (Córdoba, Colombia)","authors":"Deiby Luz Pertuz-Guzmán , Linda María Chams-Chams , Nydia Nina Valencia-Jiménez , Jorge Arrieta-Díaz , Jaime Luna-Carrascal","doi":"10.1016/j.aprim.2024.103109","DOIUrl":"10.1016/j.aprim.2024.103109","url":null,"abstract":"<div><div>The aim was to determine the possible association between food insecurity and the sociodemographic conditions of families in the rural area of Pueblo Nuevo, Córdoba, Colombia. It was a cross-sectional study using surveys to collect sociodemographic and food insecurity data in a rural area of Pueblo Nuevo, Córdoba, Colombia in which 391 families were surveyed to obtain relevant information. The Latin American and Caribbean Food Security Scale (ELCSA) survey was applied to evaluate the food security of the families. A descriptive analysis of qualitative and quantitative variables, and polyserial correlations to establish relationships between food insecurity and sociodemographic variables was held. Only 5 families (1%) showed adequate food security (AFS), while 235 families were in the severe food insecurity (SFI) category. Positive correlations were observed between types of food security and educational level (<em>P</em>  <0.001), and household size (<em>P</em>  <!-->0.002). A high prevalence of food insecurity was evident in the studied families, influenced by household size, lack of income, and low educational levels.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103109"},"PeriodicalIF":1.8,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513432","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

Programa de colaboración Centro de Salud La Jota y farmacéuticos comunitarios del Área de Salud La Jota [La Jota 健康中心与 La Jota 健康区药剂师的跨专业合作计划]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-25 DOI: 10.1016/j.aprim.2024.103110

Ana María Sáez-Benito Suescun , Liliane Mahulea , Laura Gracia Valen , Loreto Sáez-Benito Suescun , Grupo de trabajo Centro de Salud La Jota/Farmacias Comunitarias del Área de Salud La Jota , M. Lourdes Clemente Jiménez

{"title":"Programa de colaboración Centro de Salud La Jota y farmacéuticos comunitarios del Área de Salud La Jota","authors":"Ana María Sáez-Benito Suescun , Liliane Mahulea , Laura Gracia Valen , Loreto Sáez-Benito Suescun , Grupo de trabajo Centro de Salud La Jota/Farmacias Comunitarias del Área de Salud La Jota , M. Lourdes Clemente Jiménez","doi":"10.1016/j.aprim.2024.103110","DOIUrl":"10.1016/j.aprim.2024.103110","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the feasibility of a collaborative programme among community pharmacies and the health care centre of the area.</div></div><div><h3>Design</h3><div>Qualitative study.</div></div><div><h3>Site</h3><div>The collaboration program was implemented at the La Jota Health Care Center and community pharmacies in La Jota.</div></div><div><h3>Participants</h3><div>The respective professionals from the Health Care Center and the community pharmacies.</div></div><div><h3>Methods</h3><div>A collaboration program was agreed between the Health Care Center and the pharmacies of La Jota health area. The design of the Program was carried out following the steps of the theoretical framework for the development of Intervention Mapping Pharmaceutical Professional Services. The programme was implemented on March, 2021.</div></div><div><h3>Results</h3><div>Since the beginning of the program, a total of 16690 electronic prescription renewal messages have been sent. Pharmacists have made 421 visa renewal applications and 394 drug related problems have been notified. The health care centre has sent periodical notifications to community pharmacies for its dissemination among the patients. Satisfaction of all participants is high and the program has been feasible and sustainable in La Jota health area.</div></div><div><h3>Conclusions</h3><div>This program contributes to solve the serious problems of saturation of primary care, with a high satisfaction of all the agents involved and with an economic investment of zero euros, so it could be implemented in other Basic Health Areas.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103110"},"PeriodicalIF":1.8,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513431","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

Delays and inequalities in breast cancer in Meta Colombia (2017–2023): A cross-sectional study 梅塔哥伦比亚乳腺癌的延迟和不平等（2017-2023 年）：一项横断面研究。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-25 DOI: 10.1016/j.aprim.2024.103116

Cesar Garcia-Balaguera , Mery Gireth Vargas , David Guzmán , Sandra Patricia Ruiz Rodriguez

引用次数: 0

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

Núria Gutiérrez Jiménez , Eva Satué-Gracia , Joan Carles Contel , Josep Basora Gallisà , Jordi Amblàs-Novellas

{"title":"Factibilidad, fiabilidad y validez del cuestionario VIG-express como instrumento de valoración multidimensional/geriátrica rápida: estudio multicéntrico","authors":"Núria Gutiérrez Jiménez , Eva Satué-Gracia , Joan Carles Contel , Josep Basora Gallisà , Jordi Amblàs-Novellas","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":"57 4","pages":"Article 103108"},"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

Javier Ramírez-Gil , Blanca Folch Marín , Patricia Roth Damas , Vicente Palop Larrea

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

Ana Pilar Javierre Miranda , Susana Martín Martín , José Javier Gómez Marco

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

Amando Martín Zurro

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

Hilayali Aguilar-Molina , Daniel Manzur-Sandoval

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

Josue Rivadeneira , Luis Fuenmayor-González , Michelle Jácome-García , Nancy Flores-Lastra , Hugo Delgado , Tamara Otzen

{"title":"Impact of COVID-19 on the prevalence of dyslipidemia in Ecuador: A cross-sectional study between 2017 and 2022","authors":"Josue Rivadeneira , Luis Fuenmayor-González , Michelle Jácome-García , Nancy Flores-Lastra , Hugo Delgado , Tamara Otzen","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":"57 4","pages":"Article 103007"},"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

Paula Ramos Floro , Rosario Salas

引用次数: 0