Medicina de Familia-SEMERGEN最新文献

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Ultrasonografía clínica transcraneal diagnóstica a través de casos clínicos: Una ventana de oportunidad a considerar en Atención Primaria [通过临床病例诊断经颅临床超声：在初级保健中考虑的机会之窗]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-20 DOI: 10.1016/j.semerg.2024.102442

L. Ortiz-González , C. Ortiz-Peces , L. Ortiz-Peces

引用次数: 0

Pigmento parece, plata es: hemangioma capilar lobular simulando un melanoma 【色素看来，银色是：小叶毛细血管瘤模拟黑色素瘤】。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-20 DOI: 10.1016/j.semerg.2024.102435

O. Alwattar-Ceballos, M. Gómez Manzanares, M. Montero-García

引用次数: 0

Bullous impetigo due to methicillin-resistant Staphylococcus aureus 耐甲氧西林金黄色葡萄球菌引起的大疱性脓疱病。

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Medicina de Familia-SEMERGEN

Pub Date : 2024-12-20 DOI: 10.1016/j.semerg.2024.102427

M. Mansilla-Polo , D. Martín-Torregrosa

引用次数: 0

Perifollicular projections in a lentigo maligna of a 35-year-old patient 35岁患者恶性小晶状体的滤泡周围突出。

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Medicina de Familia-SEMERGEN

Pub Date : 2024-12-20 DOI: 10.1016/j.semerg.2024.102438

M. Mansilla-Polo , D. Morgado-Carrasco

引用次数: 0

Análisis de la mortalidad prematura por suicidio en España en el periodo 2016-2020 [2016-2020年西班牙自杀导致的过早死亡分析]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-20 DOI: 10.1016/j.semerg.2024.102433

J.M. Rosales-Crespo , C. Lagares-Franco , J. Almenara-Barrios , M. Rojas-Ariza , C. O’Ferrall-González

Objective

To quantify the loss of life due to suicide in Spain compared to other causes of death and to typify the differences by sex and method chosen to caused death.

Methods

Observational study with retrospective mortality data analysing the 2,175,334 death records in Spain in the period 2016-2020 provided by the National Institute of Statistics. Potential years of life lost, average potential years of life lost, the ratio of potential years of life lost and life expectancy due to suicide were calculated according to sex and the lethal method used. These indicators were compared with the other causes of death.

Results

The average number of potential years of life lost due to suicide was 28 years, second only to childhood and pregnancy-related diseases. Life expectancy ranged from 46.7 to 68 years, finding that the main differences in relation to sex were linked to the method of suicide used, with ratios of potential years of life lost ranging from 0.9 (alcohol poisoning) to 27 (shooting with a short weapon).

Conclusions

In the study period in Spain, suicide is the leading cause of preventable premature mortality. Preventive strategies should necessarily include the analysis of possible methods available to people at risk of self-harm according to gender.

目的：与其他死因相比，量化西班牙自杀造成的生命损失，并按性别和选择的导致死亡的方法分类差异。方法：采用回顾性死亡率数据进行观察性研究，分析西班牙国家统计局提供的2016-2020年期间2,175,334例死亡记录。根据性别和自杀致死方法计算潜在寿命损失年数、平均潜在寿命损失年数、潜在寿命损失年数与预期寿命之比。将这些指标与其他死因进行比较。结果：自杀导致的平均潜在寿命损失为28年，仅次于儿童期和妊娠相关疾病。预期寿命从46.7岁到68岁不等，研究发现，与性别有关的主要差异与所使用的自杀方式有关，潜在寿命损失的比率从0.9（酒精中毒）到27（用短枪射击）不等。结论：在西班牙的研究期间，自杀是可预防的过早死亡的主要原因。预防战略必须包括按性别分析有自残危险的人可用的可能方法。

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引用次数: 0

Causa infrecuente de edema unilateral de miembro inferior [下肢水肿的罕见病因]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-20 DOI: 10.1016/j.semerg.2024.102422

A. Martínez Armas, C. del Castillo de Comas, A. Cerdán Gómez, A. Bonevic Miletic, C. Ciria de Pablo

引用次数: 0

The most common diseases with atypical presentations are more prevalent than rare diseases 具有非典型表现的最常见疾病比罕见疾病更为普遍。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-18 DOI: 10.1016/j.semerg.2024.102419

P. Martín-Borregón Bendito , M.E. Millán Hernández , M.E. Montes Belloso , M. Rivera Teijido , C. Hernández Pérez

引用次数: 0

Impacto de los nuevos dispositivos de suministro de nicotina en las tendencias de consumo y en la salud [新型尼古丁输送装置对吸烟趋势、消费和健康的影响]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-18 DOI: 10.1016/j.semerg.2024.102413

J.F. Carvalho da Costa , E. Barrueco Otero , V. Hidalgo Sierra , M.A. Hernández Mezquita

The use of electronic cigarettes and heated tobacco products is increasing among adolescents and young adults. Tobacco companies offer these devices to enhance the smoking experience by magnifying its attractive and minimizing the negatives associated with the consumption of conventional cigarettes.

The objective of this review is to update the available knowledge on the impact of these devices, both from an individual perspective, in terms of their effects on health, and from a public health perspective due to direct exposure and the effects derived from the second and third hand emissions. Studies show that their aerosols contain a wide variety of toxic chemical components, responsible for adverse effects on organs and systems. There is still little evidence on long-term effects and they likely will not be fully understood for years or decades.

The systematic review demonstrates that it is important for health professionals continue to investigate this matter and provide updated information on the adverse effects of these new tobacco products with a view to promoting the health of the population.

在青少年和年轻人中，电子烟和加热烟草产品的使用正在增加。烟草公司提供这些设备是为了通过放大其吸引力和最小化与传统香烟消费相关的负面影响来增强吸烟体验。本次审查的目的是更新现有的关于这些装置影响的知识，从个人的角度来看，就其对健康的影响而言，以及从公共卫生的角度来看，由于直接接触和二手和三手排放物产生的影响。研究表明，它们的气溶胶含有各种各样的有毒化学成分，对器官和系统有不利影响。关于长期影响的证据仍然很少，它们可能在几年或几十年内都无法完全理解。系统审查表明，卫生专业人员必须继续调查这一问题，并提供有关这些新烟草制品不利影响的最新信息，以促进人口健康。

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引用次数: 0

Consecuencias psicológicas de la matrescencia: algo más que factores de riesgo y depresión posparto en madres con y sin experiencia [孕期的心理后果：有经验和没有经验的母亲的风险因素和产后抑郁症]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-17 DOI: 10.1016/j.semerg.2024.102431

E. Sanguiao Olivares , P.J. Tárraga López , J.V. Moncho Bogani

Background

The modification of the female brain during matrescence has focused on neurobiological research, but it remains open to the analysis of psychological consequences that transcend postpartum depression or anxiety. Our objectives have consisted of: 1. Investigate whether all mothers also perceive emotional instability, loss of memory and identity, and if this depends on external factors. 2. Analyze if there are differences between the first motherhood and the following ones. 3. Check if the Covid19 pandemic caused greater psychological discomfort.

Method

Surveys with assessment of risk factors and psychological distress among women (n = 129) from the Health Area of Albacete (Spain), grouped into: Mothers before the pandemic. First-time mothers in a pandemic. Experienced mothers who became mothers again during the pandemic. New mothers after the pandemic. And experienced mothers who became mothers again after the pandemic. Statistical methods: Kruskal-Wallis, Dunn's post hoc test and coefficient of determination R2.

Results

The 5 groups have shown psychological affectation. Those of first-time mothers are significantly different from those of experienced mothers (H = 33.25, p < 0.0001). The coefficient of determination R2 between risk factors and general psychological distress was 0.32, and that due to memory loss 0.1.

Conclusions

1 st. Matrescence implies obvious psychological alterations. 2 nd. First-time mothers suffer a greater impact than experienced mothers, something to consider in the clinic. 3 rd. 3 rd. The so-called risk factors do not seem to condition these alterations. 4 thThe Covid pandemic did not cause any change.

背景：女性大脑在孕期内的变化主要集中在神经生物学研究上，但对超越产后抑郁或焦虑的心理后果的分析仍是开放的。我们的目标包括：调查是否所有的母亲都感到情绪不稳定、记忆和身份的丧失，以及这是否取决于外部因素。2. 分析第一个母亲和接下来的母亲之间是否有差异。3. 检查covid - 19大流行是否造成了更大的心理不适。方法：对来自西班牙阿尔巴塞特卫生区（n=129）的妇女（n=129）进行调查，评估危险因素和心理困扰，分组为：大流行前的母亲。大流行中的第一次母亲。有经验的母亲在大流行期间再次成为母亲。大流行后的新妈妈。以及在大流行之后再次成为母亲的经验丰富的母亲。统计方法：Kruskal-Wallis， Dunn’s事后检验，决定系数R2。结果：5组患者均表现出心理上的矫揉造作。第一次母亲与经验母亲的差异有统计学意义（H=33.25）。孕乳期意味着明显的心理变化。第二。第一次怀孕的母亲比有经验的母亲受到更大的影响，这是临床需要考虑的问题。第三。第三。所谓的风险因素似乎并不影响这些改变。第四，新冠疫情没有造成任何变化。

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引用次数: 0

La dermatitis del coleccionista: un caso de Pyemotes spp. asociado a exposición a madera antigua [收藏者皮炎：与接触古董木材有关的脓毒杆菌属病例]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-17 DOI: 10.1016/j.semerg.2024.102424

P.J. Muñoz Ruiz , C. Ureña Paniego , D. Martín-Enguix , M. Guisasola Cárdenas , M. Sánchez Cambronero , J.C. Aguirre Rodríguez

引用次数: 0

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