Medicina de Familia-SEMERGEN最新文献

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An obscured obstacle—Prevalence and nature of micro aggressions amongst healthcare professionals 一个模糊的障碍-在医疗保健专业人员中微侵犯的患病率和性质

IF 1.1 Q3 Medicine

Medicina de Familia-SEMERGEN

Pub Date : 2023-12-02 DOI: 10.1016/j.semerg.2023.102124

R.H. Elfaham , F.S. Allihaydan , L.A.A. Baragaa , S.H. Elfaham , N.S. Allihaydan , M.S. Maqbul , S.O. Alhilal , A.K. Alswat , H.A. Al-Algum , M.M. Zahra , M.N. Chabalout , S.M.S. Shakally , S.A. Alshahrani , H.K.T. Alanazi

Introduction

Microaggressions create negative consequences on the mental health of individuals who experience them, such as feelings of alienation, frustration and low self-esteem. Physicians worldwide are negatively impacted by the detrimental effects of microaggressions and implicit bias. It is imperative to establish the prevalence specificity of the problem hence the aim of this study is to determine the prevalence, nature and determinants of microaggressions amongst healthcare professionals.

Method

The study used an online anonymous survey to collect data including demographics, awareness of the term, experience of microaggression, acts and response. The research findings were analyzed using univariate and multivariate analyses using Chi-square test and binary logistic regression respectively.

Result

A total of 443 participants (40.9% males, 59.1% females) included 403 physicians (91%), 21 dentists (4.7%), 15 nurses (3.4%) and 4 pharmacists (0.9%). More than half of the participants (59.8%) were aware of the term micro-aggression. The percentage was significantly higher among respondents from the western region of Saudi Arabia than the Gulf/Middle Eastern countries. Approximately 38.1% of the participants experienced microaggression and more than half (55.62%) did not report experiencing microaggression. The most common form of microaggression was passive-aggressive behavior (80.5%) followed by invalidation of an opinion (73.4%). Among those who experienced microaggression, (12.9%) reported anger as the most predominant emotional response.

Conclusion

Microaggression is a universal phenomenon. Further research is necessary to determine its prevalence in other countries to establish a comprehensive understanding of its cultural context.

微侵犯对遭受微侵犯的个人的心理健康产生负面影响，如疏离感、挫败感和低自尊感。世界各地的医生都受到微侵犯和隐性偏见的不利影响。必须确定该问题的普遍性，因此本研究的目的是确定医疗保健专业人员中微侵犯的普遍性、性质和决定因素。方法采用在线匿名调查的方式，收集人口统计学、微攻击认知、微攻击经历、微攻击行为和微攻击反应等数据。研究结果分别采用单因素分析和多因素分析，分别采用卡方检验和二元logistic回归。结果共443名参与者(男性40.9%，女性59.1%)，其中医生403人(91%)、牙医21人(4.7%)、护士15人(3.4%)、药剂师4人(0.9%)。超过一半的参与者(59.8%)知道“微攻击”这个词。来自沙特阿拉伯西部地区的受访者中，这一比例明显高于海湾/中东国家。大约38.1%的参与者经历过微攻击，超过一半(55.62%)的参与者没有经历过微攻击。最常见的微攻击形式是被动攻击行为(80.5%)，其次是意见无效(73.4%)。在那些经历过微攻击的人中，(12.9%)报告愤怒是最主要的情绪反应。结论微攻击是一种普遍现象。有必要进一步研究以确定其在其他国家的流行程度，以建立对其文化背景的全面了解。

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IF 1.1 Q3 Medicine

Medicina de Familia-SEMERGEN

Pub Date : 2023-11-18 DOI: 10.1016/j.semerg.2023.102085

I. Arteaga , G. Iglesias , A. Mesa , M. Cánovas , M. Avilés

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Medicina de Familia-SEMERGEN

Pub Date : 2023-11-18 DOI: 10.1016/j.semerg.2023.102072

V. Martín Moreno , A. Martín Fernández , Á. Sánchez Membrilla , R. Sánchez-Redondo Mayordomo , M.I. Martínez Sanz

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Prurigo nodularis—A case report 结节性痒疹1例报告。

IF 1.1 Q3 Medicine

Medicina de Familia-SEMERGEN

Pub Date : 2023-11-17 DOI: 10.1016/j.semerg.2023.102129

J. Costa Martins, M. Magno

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Dermatosis glútea senil [老年性臀部皮肤病]。

IF 1.1 Q3 Medicine

Medicina de Familia-SEMERGEN

Pub Date : 2023-11-17 DOI: 10.1016/j.semerg.2023.102130

M. Cebolla-Verdugo , A. Cabrerizo-Carvajal , R. Ruiz-Villaverde

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Exantema fijo medicamentoso por carbocisteína. Caso clínico en atención primaria 固定了半胱氨酸药疹。初级保健的临床病例]。

IF 1.1 Q3 Medicine

Medicina de Familia-SEMERGEN

Pub Date : 2023-11-17 DOI: 10.1016/j.semerg.2023.102128

A.M. López Carabaño , M. Escudero Araus , C. Muñoz García , Y. González Pascual

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COVID-19 and myotonic dystrophy type 1: Case report COVID-19与1型强直性肌营养不良1例

IF 1.1 Q3 Medicine

Medicina de Familia-SEMERGEN

Pub Date : 2023-11-17 DOI: 10.1016/j.semerg.2023.102127

A. Rosado-Bartolomé

引用次数: 0

Valores normativos para la fuerza prensil manual en adultos mayores colombianos estimados mediante regresión cuantílica 用分位数回归估计哥伦比亚老年人手握力的规范值

IF 1.1 Q3 Medicine

Medicina de Familia-SEMERGEN

Pub Date : 2023-11-06 DOI: 10.1016/j.semerg.2023.102123

Y.A. Cagua Ardila, M. Portilla Díaz, J. Martínez-Torres

Introduction

Handgrip strength is a robust indicator of the biological health of elderly.

Objective

The purpose of this study is twofold: 1) estimate the normative values of absolute and relative handgrip strength, specific to adults over 60 years of age in Colombia, using quantile regression models: 2) compare the normative values of absolute and relative handgrip strength in Colombian older adults with those from different countries.

Methods

A cross-sectional analysis of a sample of 5377 older adults. Handgrip strength was evaluated with a TKK 5101 digital dynamometer (Takei Scientific Instruments Co., Ltd., Tokyo, Japan). Relative handgrip strength was estimated by dividing by weight in kilograms. The absolute and relative handgrip strength normative values were estimated through quantile regression models for the percentiles P5, P10, P25, P50, P75, P90 and P95, they were developed independently for each sex; all analyzes were adjusted for the expansion factor.

Results

Absolute handgrip strength values were considerably higher in men (P50 60–64 years = 32.0 kg, P50 >85 years = 18.0 kg) compared to women (P50 60–65 years = 19.0 kg; P50 >85 years = 12.0 kg), in all age groups. Additionally, as age increases in both sexes, there is a decrease in the values of absolute and relative manual grip strength.

Conclusions

The estimated normative values in the Colombian population were generally lower than those reported in other studies around the world. These results could be related with methodologies used variability to evaluate handgrip strength and the estimation methods, which could influence the discrepancies between the different reports.

握力是老年人生物健康的有力指标。目的本研究的目的有两个:1)使用分位数回归模型估计哥伦比亚60岁以上成年人绝对和相对握力的规范值;2)比较哥伦比亚老年人绝对和相对握力的规范值与其他国家的规范值。方法对5377名老年人进行横断面分析。用TKK 5101数字测功机(Takei Scientific Instruments Co.， Ltd, Tokyo, Japan)评估握力。相对握力是用重量除以公斤来估计的。P5、P10、P25、P50、P75、P90和P95等百分位数的绝对和相对握力标准值通过分位数回归模型估计，各性别独立开发;所有的分析都根据膨胀系数进行了调整。结果男性的绝对握力值(P50 60-64岁= 32.0 kg, P50 >85岁= 18.0 kg)明显高于女性(P50 60-65岁= 19.0 kg;P50 >85岁= 12.0公斤)，在所有年龄组。此外，随着男女年龄的增长，绝对握力和相对握力的值都有所下降。结论哥伦比亚人群的估计正常值普遍低于世界其他研究报告的正常值。这些结果可能与评估握力的方法和估计方法的可变性有关，这可能会影响不同报告之间的差异。

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引用次数: 0

Eutanasia en España: hacia las competencias del médico responsable en Atención Primaria desde el Trabajo Social 西班牙的安乐死:从社会工作向初级保健负责医生的能力

IF 1.1 Q3 Medicine

Medicina de Familia-SEMERGEN

Pub Date : 2023-11-04 DOI: 10.1016/j.semerg.2023.102125

J.M. Jiménez Rodríguez

引用次数: 0

Un arcoíris entre las colinas 山之间的彩虹

IF 1.1 Q3 Medicine

Medicina de Familia-SEMERGEN

Pub Date : 2023-11-03 DOI: 10.1016/j.semerg.2023.102091

F.J. de la Torre Gomar , J. Gimeno Castillo

引用次数: 0

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