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Uso de la ecografía clínica en atención primaria: enfermedad escrotal [临床超声在初级保健中的应用：阴囊病理学]。
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-11-20 DOI: 10.1016/j.semerg.2024.102368
J.A. López Juan , F.J. Palma Maldonado , J. Cabrera Gómez , T. Fernández Rodriguez
Ultrasound stands out as the most suitable non-invasive diagnostic technique for examining testicular pathology. It has the ability to differentiate the most relevant causes of acute pain and scrotal inflammation, such as epididymitis, testicular torsion, and acute trauma. In patients with palpable irregularities or scrotal swelling, ultrasound can identify, locate, and characterize both intratesticular and extratesticular masses. Using a high-frequency linear transducer enables detailed visualization of testicular anatomy and surrounding structures. Additionally, it allows for the assessment of vascular perfusion through Doppler analysis. Considering clinical history and physical examination proper training and understanding the technique's limitations significantly enhance decision-making. This analysis covers both the normal sonoanatomy of the testicle and a variety of pathologies that may be of interest in a physician's office.
超声波是检查睾丸病变最合适的无创诊断技术。它能够区分急性疼痛和阴囊炎症的最相关原因，如附睾炎、睾丸扭转和急性外伤。对于可触及不规则或阴囊肿胀的患者，超声波可识别、定位和描述睾丸内和睾丸外肿块。使用高频线性换能器可以详细观察睾丸解剖结构和周围结构。此外，它还能通过多普勒分析评估血管灌注情况。考虑到临床病史和体格检查，适当的培训和对该技术局限性的了解会大大提高决策的准确性。该分析涵盖了睾丸的正常声波解剖和医生可能感兴趣的各种病理情况。
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引用次数: 0
Uso de la ecografía clínica en atención primaria: dolor abdominal agudo [临床超声波在初级保健中的应用：急性腹痛]。
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-11-20 DOI: 10.1016/j.semerg.2024.102369
A. Segura Grau , M. Mejías Gil , M. Román Garrido
Ultrasound is a diagnostic technique with clear advantages (safety, accessibility, portability) that has achieved to extend its use to all non-radiological medical specialities, increasing the resolution and diagnostic capacity of the professional who uses it. For this reason, it is useful in the management of acute abdominal pain.
Acute abdominal pain usually involves an intra-abdominal injury that requires a quick and accurate diagnosis due to the possibility of needing an urgent surgical treatment, therefore, an on-time ultrasound may be decisive.
The diseases that cause acute abdominal pain and in which ultrasound provides more value are: aortic aneurysm and its complications, acute appendicitis, acute cholecystitis, renoureteral colic, acute diverticulitis and hemoperitoneum in polytraumatized patients. These diseases present easily recognizable ultrasound findings that make the diagnosis easier and help the doctor to be more confident in caring for patients with acute abdominal pain.
超声波是一种具有明显优势（安全、方便、便携）的诊断技术，其应用已扩展到所有非放射医学专科，提高了专业人员的分辨率和诊断能力。因此，它在急性腹痛的治疗中非常有用。急性腹痛通常涉及腹腔内损伤，由于可能需要紧急手术治疗，因此需要快速准确的诊断，因此及时进行超声波检查可能会起到决定性作用。导致急性腹痛的疾病中，超声波检查价值较高的疾病有：主动脉瘤及其并发症、急性阑尾炎、急性胆囊炎、肾绞痛、急性憩室炎和多发性创伤患者的血腹腔积液。这些疾病的超声波检查结果很容易辨认，使诊断更加容易，有助于医生更有信心地治疗急性腹痛患者。
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引用次数: 0
El eritema, ¿siempre es celulitis? El eritema migratorio. A propósito de un caso [移行性红斑，病例报告]。
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-11-20 DOI: 10.1016/j.semerg.2024.102348
T. Villena Guerras, M.C. Santos Matallana
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引用次数: 0
Certificado de defunción: fácil, rápido y sin miedo a equivocarse [死亡证明：简单、快捷，不怕出错]。
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-11-20 DOI: 10.1016/j.semerg.2024.102350
J.D. Blázquez Alcázar , M. Arredondo Parages , E. Giraldo Pedraza
Certifying a death is an act of paramount importance for family physicians, who play a key role in this process. This article presents a comprehensive guide based on a review of laws, codes of ethics and interviews with forensic experts. From the definition of the certificate to the responsibilities of the physician, frequently asked questions that arise in daily practice are addressed. The need to recognise the death of a person accurately and ethically, and to avoid certifying violent or criminally suspicious deaths, is highlighted. In addition, the legal and ethical implications of errors in certification are highlighted, along with guidelines for correction. Issues such as cremation, certification in organ donation cases and the performance of clinical autopsies are also addressed. Proper completion not only ensures respect for the deceased and their family, but also avoids legal and ethical repercussions for the physician.
对家庭医生来说，死亡证明是一项至关重要的行为，他们在这一过程中发挥着关键作用。本文基于对法律、职业道德规范和法医专家访谈的回顾，提供了一份全面的指南。从证明书的定义到医生的责任，对日常实践中经常出现的问题进行了阐述。其中强调了准确、合乎道德地确认死亡的必要性，以及避免为暴力或犯罪嫌疑死亡开具证明的必要性。此外，还强调了认证错误的法律和道德影响，以及纠正错误的指导原则。此外，还讨论了火化、器官捐赠案例认证和临床尸检等问题。正确完成认证不仅能确保对逝者及其家属的尊重，还能避免对医生造成法律和伦理方面的影响。
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引用次数: 0
Ensuring research integrity in clinical trials 确保临床试验研究的完整性。
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-11-20 DOI: 10.1016/j.semerg.2024.102370
C. Candal-Pedreira , A. Ruano-Ravina
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引用次数: 0
¿La Medicina de Familia es deseable para los futuros residentes? ¿Influye la metodología del análisis? [家庭医学对未来的住院医师来说是否可取？分析方法是否有影响？］
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-11-20 DOI: 10.1016/j.semerg.2024.102347
S. Cinza-Sanjurjo , M. Portela-Romero
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引用次数: 0
Mondor's disease – A case report 蒙多尔氏病--病例报告。
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-11-20 DOI: 10.1016/j.semerg.2024.102316
A.R. Carreira, A.R. Faustino
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引用次数: 0
Generalized pustular lesions 全身脓疱病。
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-11-20 DOI: 10.1016/j.semerg.2024.102351
M. Mansilla-Polo , D. Martín-Torregrosa
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引用次数: 0
Percepción en el manejo y exposición del metotrexato en el personal de enfermería de atención primaria 初级保健护士对甲氨蝶呤管理和接触的看法
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-09-21 DOI: 10.1016/j.semerg.2024.102317
F.M. Escandell-Rico , L. Pérez-Fernández

Objective

To know the perception of nurses about the management and exposure of methotrexate in primary care nursing staff of the Orihuela Health Department.

Material and method

This is a descriptive qualitative study carried out through semi-structured interviews with a sample of 15 intentionally selected nurses.

Results

The participants expressed concern about the handling and exposure of methotrexate, which allowed them to perceive training as the greatest concern in the study unit. A main category called “knowing” was established, which encompasses all the reflections about the nurse's performance during the process of handling and exposure of cytostatics. From this main category, the following subcategories are developed: lack of knowledge, demand for training, personal protective equipment, cytostatic residues, exposure and ventilation.

Conclusion

Our study shows that it is necessary to accredit and reaccredit the professional skills of nurses to carry out the management of methotrexate correctly, facilitating the use of instruments to standardize variability and seeking strategies to update knowledge and skills.

材料和方法这是一项描述性定性研究，通过半结构式访谈对 15 名有意选取的护士进行了抽样调查。结果参与者对甲氨蝶呤的处理和接触表示关注，这使他们认为培训是研究单位最关注的问题。我们建立了一个名为 "了解 "的主类别，其中包括对护士在处理和接触细胞抑制剂过程中表现的所有反思。结论我们的研究表明，有必要对护士的专业技能进行认证和再认证，以正确执行甲氨蝶呤的管理，促进使用工具来规范变异性，并寻求更新知识和技能的策略。
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引用次数: 0
Agresiones hacia el personal sanitario en España: violencias invisibilizadas, silencios inaceptables 西班牙对卫生工作者的攻击：暴力被视而不见，沉默令人无法接受
IF 0.9 Q4 PRIMARY HEALTH CARE
Medicina de Familia-SEMERGEN
Pub Date : 2024-09-12 DOI: 10.1016/j.semerg.2024.102319
M.A. Martínez Gandolfi , J. Rodríguez Mir

The aggressions suffered by healthcare personnel (HCP) is a growing problem in the field of public health in Spain that negatively affects the quality of care. The objective is to analyze the causes of the aggressions towards the HCP and what implications they have for the healthcare service and its personnel. The methodology is based on a systematic review in PubMed, Scopus, Web of Science and Medes.

The triggers of the aggressions are multifactorial and can lead to post-traumatic stress disorder in the HCP. The most affected services are primary care, emergency care, emergencies, and psychiatry. Women are the most assaulted, while men are responsible for most of the assaults. Although professional associations, autonomous communities and the Ministry of Health and Social Services are making efforts to prevent the problem, it continues to be invisible due to the under-reporting of complaints, the lack of academic research and society in general.

医护人员（HCP）遭受侵犯是西班牙公共卫生领域一个日益严重的问题，对医疗质量产生了负面影响。本研究旨在分析医护人员遭受侵犯的原因，以及这些原因对医疗服务及其人员的影响。研究方法基于在 PubMed、Scopus、Web of Science 和 Medes 上进行的系统综述。受影响最严重的服务是初级保健、急诊护理、急诊和精神科。女性受到的攻击最多，而男性则对大多数攻击行为负责。尽管专业协会、自治区和卫生与社会服务部正在努力预防这一问题，但由于投诉举报不足、缺乏学术研究和社会普遍关注，这一问题仍未得到重视。
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引用次数: 0
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