Medicina de Familia-SEMERGEN最新文献

英文中文

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

Utilidad de diferentes escalas de sobrepeso y obesidad para predecir la presencia de dislipemia aterogénica y tríada lipídica en 418.343 trabajadores españoles [在418,343名西班牙工人中，不同的超重和肥胖量表对预测动脉粥样硬化性血脂异常和脂质三联征存在的有用性]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-17 DOI: 10.1016/j.semerg.2024.102428

H. Paublini , Á. Arturo López-González , P.J. Tárraga López , E. Martínez-Almoyna Rifá , D. Vallejos , J. Ignacio Ramírez-Manent

Introduction and objectives

Obesity and atherogenesis are two highly prevalent pathological processes that are closely related to the increase in cardiometabolic diseases. The aim of this study is to assess the relationship between obesity and two parameters that measure the risk of atherogenesis: atherogenic dyslipidaemia (AD) and the lipid triad (TL).

Material and methods

Descriptive and cross-sectional study in 418,343 Spanish workers in which the possible association between AD and TL with different scales of overweight and obesity such as body mass index (BMI), waist/height index, Clínica Universitaria de Navarra Body Adiposity Estimator (CUN BAE), relative fat mass (RFM), Palafolls and Deuremberg formulas, body surface index (BSI), normalized weight-adjusted index (NWAI) and body roundness index (BRI) was assessed.

Results

The values of all overweight-obesity scales are higher in people with AD and LBP and the prevalence of AD and LBP increases as the values of these overweight-obesity scales increase. The overweight-obesity scales that best predict the occurrence of AD are Deuremberg and CUN BAE (AUC 0.813 and 0.811 in men and 0.810 and 0.802 in women) while for TL they are also Deuremberg and CUN BAE (AUC 0.793 and 0.786 in men and 0.802 and 0.786 in women).

Conclusions

The different scales that assess excess weight, especially those that predict body fat such as the Deuremberg formula and CUN BAE, are good predictors of AD and LD.

简介和目的：肥胖和动脉粥样硬化是两种非常普遍的病理过程，与心脏代谢疾病的增加密切相关。本研究的目的是评估肥胖与测量动脉粥样硬化风险的两个参数之间的关系：动脉粥样硬化性脂质异常血症（AD）和脂质三联体（TL）。材料与方法：对418,343名西班牙工人进行描述性和横断面研究，评估AD和TL与不同超重和肥胖量表（如体重指数（BMI）、腰围/身高指数、Clínica Universitaria de Navarra body adiobesity Estimator （CUN BAE）、相对脂肪量（RFM）、Palafolls和Deuremberg公式、体表指数（BSI）、标准化体重调整指数（NWAI）和身体圆度指数（BRI））之间的可能关联。结果：AD和LBP患者的所有超重肥胖量表值都较高，AD和LBP的患病率随着这些超重肥胖量表值的增加而增加。最能预测AD发生的超重肥胖量表是Deuremberg和CUN BAE（男性AUC分别为0.813和0.811，女性为0.810和0.802），而对于TL也同样是Deuremberg和CUN BAE（男性AUC分别为0.793和0.786，女性AUC分别为0.802和0.786）。结论：评估超重的不同量表，特别是预测体脂的量表，如Deuremberg公式和CUN BAE，是AD和LD的良好预测指标。

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引用次数: 0

Madelung's disease: A challenging diagnosis 马德龙病：极具挑战性的诊断

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-16 DOI: 10.1016/j.semerg.2024.102421

C. Pereira, M. Jácome, J. Gomes

引用次数: 0

Delusional parasitosis (Ekbom's syndrome) 妄想寄生虫病（埃克博姆综合征）。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-16 DOI: 10.1016/j.semerg.2024.102423

M. Mansilla-Polo , D. Martín-Torregrosa , R. Botella-Estrada

引用次数: 0

Cancer: Fight Club? 癌症：搏击俱乐部？

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-16 DOI: 10.1016/j.semerg.2024.102415

L. Posado-Domínguez

引用次数: 0

Las voces ignoradas: integración de los pacientes en la toma de decisiones [被忽视的声音：让慢性病患者参与医疗决策]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-16 DOI: 10.1016/j.semerg.2024.102416

N. Cano-Ibáñez , K.S. Khan , A. Bueno-Cavanillas

引用次数: 0

An atypical mole 非典型痣

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-16 DOI: 10.1016/j.semerg.2024.102417

M. Mansilla-Polo , V. Martínez-Cozar

引用次数: 0

Síndrome de Parsonage-Turner en relación con la quinta enfermedad [牧师特纳综合症与第五种疾病的关系]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-16 DOI: 10.1016/j.semerg.2024.102426

R. Bugarín González , A.I. Docasar Barrera , S. Hernández Dorta , J.A. Villar Carballo , A. Castillo Riera

引用次数: 0

Protocolo para el manejo de la apnea obstructiva de sueño con cribado mediante el cuestionario STOP-Bang y métodos simplificados de diagnóstico por Atención Primaria en la comarca de Osona, Cataluña central (Barcelona) [在加泰罗尼亚中部的奥索纳地区（巴塞罗那）使用 STOP-Bang 问卷和简化诊断方法作为筛查工具的基层医疗机构阻塞性睡眠呼吸暂停管理协议]。

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN

Pub Date : 2024-12-12 DOI: 10.1016/j.semerg.2024.102398

C. Muñoz-Pindado , R. Bonich-Juan , M. Deutú-Colom , P.M. Martínez-Molina , L. Escabias-Santamarta , X. Bartrina-Alabau , J. Serra-Batlles , F. Ruiz-Mori , S. Balmes-Estrada , C. Serra , A.M. Muñoz-Fernández , C. Embid , M. Dalmases , I. Casademunt-Codina , N. Roger-Casals

Obstructive Sleep Apnea (OSA) is a widespread disease, but usually is an underdiagnosed and undertreated public health problem. Nowadays its study is expensive. Collaboration and involvement of all specialties are necessary, also the implementation of simplified diagnostic methods to try to improve detection, increase the diagnosis and treatment ratio.

In the Osona region (Barcelona), it has been developed a protocol that defines a new care process that shortens and reduces the cost of the OSA's diagnosis process. This new care process also favors better knowledge of the pathology of OSA by all the specialists involved, resulting in an increase in community health, in addition to generating knowledge.

This new care process could be implemented in other health areas around all the country and it would improve the management of this pathology and improve national community health.

阻塞性睡眠呼吸暂停（OSA）是一种普遍存在的疾病，但通常是一个诊断不足和治疗不力的公共健康问题。如今，对它的研究费用昂贵。所有专科的合作和参与是必要的，同时还需要采用简化的诊断方法来提高检测率，增加诊断和治疗比例。在奥索纳地区（巴塞罗那），已经制定了一项协议，确定了新的护理流程，缩短了 OSA 诊断过程并降低了成本。这一新的护理流程还有利于所有相关专家更好地了解 OSA 的病理，从而在创造知识的同时，提高社区健康水平。这一新的护理流程可在全国其他卫生领域实施，它将改善对这一病症的管理，提高全国的社区健康水平。

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引用次数: 0

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