Atencion Primaria最新文献

{"title":"Abordaje de la salud mental del migrante y de la mutilación genital femenina en atención primaria","authors":"Consuelo (Rou) Sánchez Collado ,&nbsp;Ethel Sequeira-Aymar ,&nbsp;Carme Saperas Pérez ,&nbsp;Silvia Barro Lugo ,&nbsp;Federica Gutierrez de Quijano Miceli ,&nbsp;Núria Barlam Torres","doi":"10.1016/j.aprim.2024.102957","DOIUrl":"10.1016/j.aprim.2024.102957","url":null,"abstract":"<div><p>Mental Health (MH) and Female Genital Mutilation (FGM) are two aspects of migrant health that should be addressed and screened in primary care. These topics are inherently sensitive, often challenging and difficult to approach in routine consultations. Providing comprehensive care and management needs both knowledge and a careful approach, yet these factors may sometimes result in low screening of both health issues.</p><p>Migration itself does not inherently lead to MH disorders. However, the various experiences encountered throughout the migration process can contribute to MH challenges. Migrants face the same issues as the rest of the population, but their expressions may differ. Therefore, it is important to understand the cultural contexts and create a supportive environment within healthcare to effectively address both MH and FGM.</p><p>FGM is a serious health issue for girls and women that should be assessed in primary care. This includes prevention for at-risk girls, support and care for affected women and community initiatives. To engage with individuals from high-risk countries, both men and women is essential to facilitate change and help to end this harmful practice.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724000994/pdfft?md5=cf541c35045d0f99fa586548dc897e12&pid=1-s2.0-S0212656724000994-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185068","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":"Estrategias para la prevención y el tratamiento no farmacológico de la obesidad. Modelos de atención","authors":"Angel Rosales ,&nbsp;Lilian Mendoza ,&nbsp;Inka Miñambres","doi":"10.1016/j.aprim.2024.102978","DOIUrl":"10.1016/j.aprim.2024.102978","url":null,"abstract":"<div><p>The prevalence of obesity has increased in recent years worldwide. In this context, strategies for management obesity in primary care are essential. The first step in the treatment of obesity are lifestyle intervention programs. The three pillars of these programs, ideally of high intensity (high frequency of visits), are dietary intervention, exercise and behavioral therapy. There is no universal model of care for patients with obesity, but it must take into account key aspects, such as facilitating the access and adherence of the patient and a multidisciplinary and coordinated care among professionals at different levels of healthcare. The components of the model of care and its format should be defined according to the resources available and the characteristics of the population to be treated.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001203/pdfft?md5=4b2b55aec3ed298f3c85f2eb4d0a488f&pid=1-s2.0-S0212656724001203-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185070","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":"Uso juicioso de los smartphones en las consultas de atención primaria","authors":"Raisa Maria Iconareasa Sugeac ,&nbsp;Rosa Coll","doi":"10.1016/j.aprim.2024.102975","DOIUrl":"10.1016/j.aprim.2024.102975","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001173/pdfft?md5=d2da7e2c7924f5ebb65cf13be48d5aa7&pid=1-s2.0-S0212656724001173-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181517","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":"Atención inicial al paciente inmigrante en atención primaria","authors":"Elena Echart Puntonet","doi":"10.1016/j.aprim.2024.102974","DOIUrl":"https://doi.org/10.1016/j.aprim.2024.102974","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001161/pdfft?md5=d177111be944dff3674f609590ee4360&pid=1-s2.0-S0212656724001161-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141164142","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":"Correlation between self-efficacy and readiness to return to work in patients with type 2 diabetes mellitus","authors":"Yi-ni Ma ,&nbsp;Li-xiang Zhang ,&nbsp;Li-li Zhao ,&nbsp;Tian-lu Shi","doi":"10.1016/j.aprim.2024.102976","DOIUrl":"https://doi.org/10.1016/j.aprim.2024.102976","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001185/pdfft?md5=c27282395bf2e013a35d60d1e3fb3c14&pid=1-s2.0-S0212656724001185-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141163448","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":"Dependencia funcional y salud oral en adultos mayores: un estudio transversal con oficiales de policía retirados","authors":"Evelyn Del Socorro Auqui-Saavedra,&nbsp;Katherin Jhosely Barzola-Rafael,&nbsp;Luis Alexander Orrego-Ferreyros","doi":"10.1016/j.aprim.2024.102962","DOIUrl":"10.1016/j.aprim.2024.102962","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001045/pdfft?md5=b4d6fd11a631d346ae63b766dd00c880&pid=1-s2.0-S0212656724001045-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181514","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":"El futuro de la medicina rural","authors":"Sonia Jover Garrido ,&nbsp;Carme Planes","doi":"10.1016/j.aprim.2024.102973","DOIUrl":"10.1016/j.aprim.2024.102973","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021265672400115X/pdfft?md5=8f9ab5d40a73e4dafd5f2f8dbb1a50e7&pid=1-s2.0-S021265672400115X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181521","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":"Factores asociados a las recidivas de las úlceras venosas: estudio observacional","authors":"Carmen Folguera-Álvarez ,&nbsp;Sofía Garrido-Elustondo ,&nbsp;Milagros Rico-Blázquez ,&nbsp;José Verdú-Soriano","doi":"10.1016/j.aprim.2024.102977","DOIUrl":"10.1016/j.aprim.2024.102977","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001197/pdfft?md5=0458f05b58e80b4f51e8bc96e9006ef1&pid=1-s2.0-S0212656724001197-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181497","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":"β-Lactam allergy delabeling is safe and saves costs in Primary Care","authors":"Joaquín Quiralte ,&nbsp;María del Robledo Ávila ,&nbsp;Isabel Domínguez ,&nbsp;Estela Menéndez ,&nbsp;José Miguel Cisneros ,&nbsp;Ana Belén Guisado","doi":"10.1016/j.aprim.2024.102925","DOIUrl":"https://doi.org/10.1016/j.aprim.2024.102925","url":null,"abstract":"<div><h3>Objective</h3><p>To determine whether the β-lactam allergy delabeling was safe and cost-saving in Primary Care (PC) patients.</p></div><div><h3>Design</h3><p>We have conducted a retrospective chart review of PC patients with β-lactam allergy label evaluated in our Allergy Unit between 2017 and 2022.</p></div><div><h3>Site</h3><p>Allergy Department. Hospital Virgen del Rocio (Sevilla).</p></div><div><h3>Participants</h3><p>A total of 391 patients labeled for β-lactam allergy in PC were studied.</p></div><div><h3>Main measurements</h3><p>(a) Outcome evaluation of a β-lactam allergy delabeling procedure. (b) A ratio between the total e-prescribed antibiotic cost and the number of treatment days (the experimental daily antibiotic cost or EDAC) before and after delabeling was analyzed in delabeled and truly allergic patients.</p></div><div><h3>Results</h3><p>The results of skin testing were positive in 9.2% of the reported cases (36 of 391 patients). The reactions to oral provocation challenge (OPC) occurred in 2.14% of the patients who underwent negative skin testing to offending β-lactam (in 15 of 699 OPC). A total of 307 patients (78.5%) were delabeled; 70 (17.9%) had a β-lactam selective response and 14 (3.59%) reacted to both penicillin and cephalosporin. The EDAC before and after the procedure in delabeled patients was significantly lower (0.88 € vs 0.62 €, <em>p</em> <!-->&lt;<!--> <!-->10⁻³), than that observed in truly allergic group (0.87 € vs. 0.76 €, <em>p</em> <!-->=<!--> <!-->not significant).</p></div><div><h3>Conclusion</h3><p>To delabel β-lactam allergy in Primary Care patients is safe in most patients, cost-saving in antibioticotherapy, and allows identify the main clinical β-lactam allergy phenotypes that benefit from this procedure.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724000672/pdfft?md5=cb45e8ed29a4a5aae35682cad1d62a09&pid=1-s2.0-S0212656724000672-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141090512","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":"Intervención farmacéutica en la revisión del tratamiento en pacientes mayores polimedicados institucionalizados","authors":"Cristina Peral Bolaños ,&nbsp;Isabel Santaolalla García ,&nbsp;Isabel Gómez Valbuena ,&nbsp;Laura Vega Ruíz ,&nbsp;Claudia Iglesias Carabias ,&nbsp;Rocío Martín Valero ,&nbsp;Fernando Martínez Martínez ,&nbsp;Grupo de Trabajo","doi":"10.1016/j.aprim.2024.102959","DOIUrl":"10.1016/j.aprim.2024.102959","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the Drug-Related Problems (DRP) and their resolution after pharmacological review in institutionalised elderly patients under polypharmacy.</p></div><div><h3>Design</h3><p>Descriptive, retrospective cohort study from January to October of 2022.</p></div><div><h3>Location</h3><p>Twelve nursing homes at the Community of Madrid<strong>.</strong></p></div><div><h3>Participants</h3><p>295 patients aged 65 or older taking at least 5 chronic medications prescribed prior to the treatment review.</p></div><div><h3>Interventions</h3><p>Medication reviews carried out by the pharmacist and agreed upon in face-to-face meetings between the primary care doctor, the nursing home doctor and the pharmacist.</p></div><div><h3>Main measurements</h3><p>Detected DRP, types and resolution. A age, sex, and number of medications before and after the intervention. Pharmacological subgroups according to anatomical therapeutic chemical classification system (ATC) and active pharmaceutical ingredients involved in the detected DRPs.</p></div><div><h3>Results</h3><p>1425 DRP were detected, with a mean of 4.85 (SD 3.33) DRPs/patient. The most frequent DRP was reconciliation error (32.52%), followed by pharmaceutical regimen and dosaje. Among the 1425 improvement proposals, 86.73% of them were accepted.Significant statistically differences were observed between the number of medications per patient prior to the pharmacotherapy review (12.29) and after it (10.20), obtaining an average difference of 2.09 (95%<span>C</span>I: 1.98-2.21; <em>P</em>&lt;.001).</p></div><div><h3>Conclusions</h3><p>It is found that the intervention of multidisciplinary team in which the pharmacist performs a revision of the medication decreased the number of prescribed medications. Therefore, it reduces polymedication and its associated risks.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021265672400101X/pdfft?md5=3c36672597d352846ebe71c6d0a8645a&pid=1-s2.0-S021265672400101X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066382","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}