Atencion Primaria最新文献_第7页

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

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

Joaquim Julià-Torras , Cristina Monforte-Royo , Andrea Rodríguez-Prat , Albert Balaguer

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

Angelina Dois Castellón , Tomás Inostroza Ortega

{"title":"Creencias de profesionales de Atención Primaria frente a personas con conductas suicidas: un estudio cualitativo","authors":"Angelina Dois Castellón , Tomás Inostroza Ortega","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":"57 3","pages":"Article 102839"},"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

Joana Carvalho Queirós , Francisca Villas-Boas , Mariana Cruz da Silva , Catarina Prior , Inês Vaz Matos

引用次数: 0

Modelo transteórico y su asociación con la actividad física en pacientes con hipertensión arterial [高血压患者的跨理论模型与体育锻炼之间的关系]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-10-04 DOI: 10.1016/j.aprim.2024.103092

Jannett Padilla López , Karina Lizbeth Ortega Covarrubias , Carolina Quiñones Villalobos , Carlos Alberto Prado Aguilar , Juan Manuel Márquez Romero , Alicia Alanis Ocádiz

{"title":"Modelo transteórico y su asociación con la actividad física en pacientes con hipertensión arterial","authors":"Jannett Padilla López , Karina Lizbeth Ortega Covarrubias , Carolina Quiñones Villalobos , Carlos Alberto Prado Aguilar , Juan Manuel Márquez Romero , Alicia Alanis Ocádiz","doi":"10.1016/j.aprim.2024.103092","DOIUrl":"10.1016/j.aprim.2024.103092","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the association between the transtheoretical model (TTM) and physical activity (PA) carried out in free time in patients with arterial hypertension in the central region of Mexico.</div></div><div><h3>Design</h3><div>Comparative cross-sectional study.</div></div><div><h3>Site</h3><div>The study was carried out in the Family Medicine Unit No.1 (UFM1) of the Mexican Social Security Institute in Aguascalientes, Mexico.</div></div><div><h3>Participants</h3><div>Four hundred thirty-five adults aged 40 to 70 with arterial hypertension who attended the outpatient clinic at UFM1 were included.</div></div><div><h3>Interventions</h3><div>The Global Physical Activity Questionnaire and the Stages of Change algorithm from the TTM were applied.</div></div><div><h3>Main measurements</h3><div>A descriptive, bivariate analysis and ordinal logistic regression were performed to evaluate the association between TTM stages and PA.</div></div><div><h3>Results</h3><div>As patients progress through the stages of change, their weekly PA increased. Individuals in the action, maintenance and consolidation stages were significantly more likely to perform higher levels of exercise: 20 times more likely in the action stage with an ordinal odds ratio (OR) of 20.07 (CI95%: 10,52-38,25), 24 times more in the maintenance stage with OR 24 (CI95%: 12,79-47,63) and 40 times more in the consolidation stage with OR 40,35 (IC95%: 19,25-84,59).</div></div><div><h3>Conclusions</h3><div>The strong association between the stages of change and PA reveals the importance of applying the TTM to achieve success in programs to promote healthy habits by designing strategies that suit each subject.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103092"},"PeriodicalIF":1.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378560","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