Atencion Primaria最新文献

{"title":"Manejo en atención primaria de las infecciones de transmisión sexual (II). Lesión ulcerada genital. Vulvovaginitis. Virus del papiloma humano","authors":"Marta Borrull Carrera , Leonardo Barborini Valberde","doi":"10.1016/j.aprim.2024.103012","DOIUrl":"10.1016/j.aprim.2024.103012","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001549/pdfft?md5=2af6acaa6ba1ff1f9d49d09594f91d77&pid=1-s2.0-S0212656724001549-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472847","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":"Satisfacción de un programa social recibido por los estudiantes de una universidad de la ciudad de Huacho","authors":"Alberto Valenzuela Muñoz , Carlos Bernardino Ruiz Huaraz , Marisel Roxana Valenzuela Ramos , Flor de María Lioo Jordan de Baldeos","doi":"10.1016/j.aprim.2024.103011","DOIUrl":"10.1016/j.aprim.2024.103011","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001537/pdfft?md5=d0972befb475a0e1bd5c236f626b6974&pid=1-s2.0-S0212656724001537-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472848","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":"Cambios en las expectativas profesionales de los residentes de medicina de familia y comunitaria","authors":"José Ramón Vázquez Díaz","doi":"10.1016/j.aprim.2024.103009","DOIUrl":"10.1016/j.aprim.2024.103009","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001513/pdfft?md5=342a8dcb914f454baf0a1a5c8404ab2c&pid=1-s2.0-S0212656724001513-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472850","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":"Consideraciones críticas sobre el enfoque de las infecciones de transmisión sexual: hacia una visión más amplia","authors":"Lorena Cara Serrano , Carlos Matías Salas Mora","doi":"10.1016/j.aprim.2024.103010","DOIUrl":"10.1016/j.aprim.2024.103010","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001525/pdfft?md5=1daa0ad07d42d50b71ead7ea5d94e0e0&pid=1-s2.0-S0212656724001525-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472849","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":"Respuesta a la carta al director «Nuevas perspectivas en la evaluación del riesgo de caídas en personas mayores con el síndrome del declive»","authors":"Gemma Riera Arias","doi":"10.1016/j.aprim.2024.103008","DOIUrl":"10.1016/j.aprim.2024.103008","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001501/pdfft?md5=25ace6c85d16dca77606363c874167ef&pid=1-s2.0-S0212656724001501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460929","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":"Impact of the COVID-19 lockdown on the O'Sullivan test and gestational diabetes mellitus diagnosis in pregnant Spanish women","authors":"Encarnación Ruiz Peláez ,&nbsp;Esperanza Macarena Hurtado Algar ,&nbsp;Teresa Martínez la Torre ,&nbsp;Javier Sánchez-Romero ,&nbsp;Iván Hernández-Caravaca","doi":"10.1016/j.aprim.2024.103006","DOIUrl":"10.1016/j.aprim.2024.103006","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the impact of COVID-19 lockdown on serum glucose levels of pregnant women.</p></div><div><h3>Design</h3><p>A retrospective analysis of O'Sullivan test in pregnant women who underwent COVID-19 lockdown compared to controls.</p></div><div><h3>Site</h3><p>Poniente Primary Health Care center in Córdoba (Spain).</p></div><div><h3>Participants</h3><p>235 pregnant women from 23⁺⁰ to 25⁺⁰ weeks of gestation without diabetes mellitus.</p></div><div><h3>Interventions</h3><p>Gestational diabetes mellitus screening with O'Sullivan test and 3-h oral glucose tolerance test.</p></div><div><h3>Main measurements</h3><p>Pregnant women who underwent gestational diabetes mellitus screening with O'Sullivan test before (control group) and during COVID-19 Lockdown (Lockdown group) in Córdoba (Spain) were investigated. Lockdown group was divided in early and late lockdown. An additional, control group from data of the same months of the Lockdown in the previous year were recorded to discarded seasonally (adjusted seasonally control) this group was also divided in early and late seasonally adjusted.</p><p>A logistic regression model for O'Sullivan test has been performed to analyze potential cofounders. Kolgomorov–Smirnov and Kruskal–Wallis test comparing pregnant women who underwent COVID-19 lockdown with the two types of controls.</p></div><div><h3>Results</h3><p>Statistically significant differences were found in serum glucose after O'Sullivan test between lockdown group and control group (123.51<!--> <!-->±<!--> <!-->26.02<!--> <!-->mg/dL and 112.86<!--> <!-->±<!--> <!-->31.28<!--> <!-->mg/dL; <em>p</em> <!-->=<!--> <!-->0.017). When early lockdown group and control group were compared no differences were found (119.64<!--> <!-->±<!--> <!-->26.18<!--> <!-->mg/dL vs. 112.86<!--> <!-->±<!--> <!-->31.28<!--> <!-->mg/dL; <em>p</em> <!-->&gt;<!--> <!-->0.05) whereas differences were observed in late lockdown group and control group (127.22<!--> <!-->±<!--> <!-->25.59<!--> <!-->mg/dL vs. 112.86<!--> <!-->±<!--> <!-->31.28<!--> <!-->mg/dL; <em>p</em> <!-->=<!--> <!-->0.009). Statistical trends were also found between lockdown group and seasonally adjusted group and between lockdown and late seasonally adjusted group (<em>p</em> <!-->=<!--> <!-->0.089). A higher proportion of positive O'Suvillan pregnant women who were subsequently diagnosed with GDM were found in lockdown group compared to the seasonally adjusted control group (60% vs. 26.06% respectively; <em>p</em> <!-->&lt;<!--> <!-->0.05).</p></div><div><h3>Conclusions</h3><p>The COVID-19 lockdown was associated with an increase in serum glucose levels after the O'Sullivan test as well as a higher GDM diagnosis risk in pregnant women. The findings of our study emphasize the essential requirement for comprehensive maternal services and the accessibility to community's health assets during future lockdown scenarios to pregnant women.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001483/pdfft?md5=9440c08415c757e56489f81d7677e42a&pid=1-s2.0-S0212656724001483-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422003","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":"Nuevas perspectivas en la evaluación del riesgo de caídas en personas mayores con el síndrome del declive","authors":"Mónica Gutiérrez Martínez ,&nbsp;Núria Barrera","doi":"10.1016/j.aprim.2024.102989","DOIUrl":"10.1016/j.aprim.2024.102989","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001318/pdfft?md5=b66b3035a101caf390655450aa8f0db1&pid=1-s2.0-S0212656724001318-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321975","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":"Prevalencia de inactividad física y riesgo de sarcopenia en atención primaria. Estudio transversal","authors":"Laura Illamola Martin ,&nbsp;Antonio Granados Granados ,&nbsp;Albert Sanllorente Melenchón ,&nbsp;Juan José Rodríguez Cristobal ,&nbsp;Mireia Broto Hernandez","doi":"10.1016/j.aprim.2024.102993","DOIUrl":"10.1016/j.aprim.2024.102993","url":null,"abstract":"<div><h3>Objectives</h3><p>Assess the prevalence of physical inactivity and risk of sarcopenia in primary care patients and their companions.</p></div><div><h3>Design</h3><p>Cross-sectional study. We carried out an anonymous survey of primary care users (patients and companions) in primary care consultations and stands coinciding with a community health activity for World Physical Activity Day.</p></div><div><h3>Site</h3><p>Five primary care centers (CAPs) of the South Metropolitan health region: in Cornellà de Llobregat (CAP Jaume Soler), in l’Hospitalet de Llobregat (CAP Florida Nord, CAP Florida Sud and CAP Bellvitge) and in Viladecans (CAP Maria Bernades) between 27 March to April 6, 2023 (coinciding with World Physical Activity Day).</p></div><div><h3>Participants</h3><p>Primary care population consists of patients and their companions over 18 years of age.</p></div><div><h3>Interventions</h3><p>The health workers administered questionnaires to users and companions.</p></div><div><h3>Main measurements</h3><p>We evaluated physical inactivity with the BPAAT questionnaire, risk of sarcopenia with SARC-F screening test, sex and age range. We performed an univariate descriptive analysis to report prevalence.</p></div><div><h3>Results</h3><p>Nine hundred ninety-eight participants were surveyed. Physical inactivity was present in 38.9% of the participants. Among those over 50 years (665 participants), 15.4% were at risk of sarcopenia (9.58% men, 19.2% women).</p></div><div><h3>Conclusions</h3><p>The prevalence of physical inactivity and risk of sarcopenia (in individuals over 50 years old) in the studied population is high. Women have greater physical inactivity and a greater risk of sarcopenia than men.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001355/pdfft?md5=ed212f778e3fb923396656cbdebd241a&pid=1-s2.0-S0212656724001355-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321976","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":"Duration of severe and moderate symptoms in pharyngitis by cause","authors":"Ana Moragas ,&nbsp;Carolina Sarvisé ,&nbsp;Frederic Gómez ,&nbsp;Ester Picó-Plana ,&nbsp;Silvia Crispi ,&nbsp;Carl Llor","doi":"10.1016/j.aprim.2024.102994","DOIUrl":"10.1016/j.aprim.2024.102994","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to assess the cause of acute pharyngitis and determine the duration of severe and moderate symptoms based on the aetiology.</p></div><div><h3>Design</h3><p>Prospective observational study.</p></div><div><h3>Site</h3><p>One urban health care centre.</p></div><div><h3>Participants</h3><p>Patients aged 15 or older with acute pharyngitis were included.</p></div><div><h3>Interventions</h3><p>Bacterial identification was carried out in the microbiology lab using MALDI-TOF in two throat samples. Patients received a symptom diary to return after one week.</p></div><div><h3>Main measurements</h3><p>Number of days with severe symptoms, scoring 5 or more in any of the symptoms included in the symptom diary, and moderate symptoms, scoring 3 or more.</p></div><div><h3>Results</h3><p>Among the 149 patients recruited, beta-haemolytic streptococcus group A (GABHS) was the most common aetiology. Symptoms and signs alone as well as the mean Centor score cannot distinguish between GABHS and other bacterial causes in patients with acute pharyngitis. However, there was a trend indicating that infections caused by <em>Streptococcus dysgalactiae</em> and <em>Streptococcus agalactiae</em> presented more severe symptoms, whereas infections attributed to the <em>Streptococcus anginosus</em> group, <em>Fusobacterium</em> spp., and those where oropharyngeal microbiota was isolated tended to have milder symptoms. <em>S. dysgalactiae</em> infections showed a trend towards longer severe and moderate symptom duration.</p></div><div><h3>Conclusion</h3><p>GABHS was the most prevalent, but group C streptococcus caused more severe and prolonged symptoms.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001367/pdfft?md5=1d6188ec094b5aa3c6df10f08e9e2125&pid=1-s2.0-S0212656724001367-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322037","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":"25 años de la Semana Sin Humo semFYC (2000-2024)","authors":"Francisco Camarelles Guillem ,&nbsp;Vidal Barchilon Cohen ,&nbsp;Asensio López Santiago ,&nbsp;Remedios Martin Álvarez","doi":"10.1016/j.aprim.2024.103004","DOIUrl":"https://doi.org/10.1016/j.aprim.2024.103004","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021265672400146X/pdfft?md5=ebeb07f68594563b39bcecbc9c69c79a&pid=1-s2.0-S021265672400146X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294772","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}