Atencion Primaria最新文献

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Salud percibida en adultos mayores mexicanos: su asociación con la participación social formal e informal 墨西哥老年人的健康状况：与正式和非正式社会参与的关联

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-10-03 DOI: 10.1016/j.aprim.2025.103366

Elva Dolores Arias-Merino , Beatriz Adriana Corona-Figueroa , Martha Elena Vázquez-Arias , Jose Carlos Suarez-Herrera

引用次数: 0

[A particular case of a Schwannoma in the foot]. [脚部神经鞘瘤的特殊病例]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-10-01 Epub Date: 2025-08-08 DOI: 10.1016/j.aprim.2025.103351

Carlos Jiménez Martínez

引用次数: 0

Efectos de los cambios de temperatura secundarios al cambio climático en la salud humana [气候变化引起的温度变化对人类健康的影响]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-09-30 DOI: 10.1016/j.aprim.2025.103369

María Cristina Almécija Pérez , Marta Gómez Morillo , Carlos Llano Gómez , Nima Peyman-Fard Shafi-Tabatabaei

Climate change is intensifying extreme heat with serious health consequences. Heatwaves increase both mortality and morbidity, particularly affecting vulnerable groups. Heat exacerbates cardiovascular, renal, mental, and respiratory diseases, and its impact is greater in contexts of energy poverty and inadequate housing. Moreover, there are significant geographical and social inequalities: those who contribute the least to climate change are often the most affected. Adaptation can reduce heat-related mortality by up to 80% and includes physiological, cultural, technological, and policy-based measures. From Primary Health Care, strategies are proposed at individual, group, community, and political levels, focusing on identifying vulnerabilities, raising awareness, promoting healthy environments, and demanding climate justice. The approach must be comprehensive, equitable, and transformative in order to address this global health crisis effectively.

气候变化加剧了极端高温，造成严重的健康后果。热浪会增加死亡率和发病率，尤其会影响弱势群体。高温会加剧心血管、肾脏、精神和呼吸系统疾病，在能源贫困和住房不足的情况下，其影响更大。此外，还存在显著的地理和社会不平等：对气候变化贡献最小的人往往受影响最大。适应措施包括生理、文化、技术和基于政策的措施，可将与热有关的死亡率降低高达80%。从初级卫生保健来看，在个人、群体、社区和政治层面提出了战略，重点是确定脆弱性、提高认识、促进健康环境和要求气候正义。这种做法必须是全面、公平和变革性的，以便有效地应对这一全球卫生危机。

引用次数: 0

Ansiedad y estrés en la paternidad: desafíos y oportunidades para los hombres [父亲的焦虑和压力：男性的挑战和机遇]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-09-30 DOI: 10.1016/j.aprim.2025.103382

Aldo Medina Gamero

引用次数: 0

Efectividad del programa de financiación de la deshabituación tabáquica en la sanidad pública 戒烟筹资方案对公共卫生的影响

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-09-23 DOI: 10.1016/j.aprim.2025.103384

Francisco Camarelles Guillem , Cesar Minué Lorenzo , Rodrigo Córdoba Garcia

引用次数: 0

Pustulosis palmoplantar: a propósito de un caso 掌植脓疱病：以一个病例为例

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-09-23 DOI: 10.1016/j.aprim.2025.103376

Sara de Antonio Feu , Gema Fernández Álvarez , Ganna Ogorodnyk Zhurakhivska

引用次数: 0

Funcionalidad familiar y enfermedades crónicas: una mirada preventiva a la sobrecarga del cuidador antes de la dependencia 家庭功能与慢性疾病：预防照料者在依赖前超负荷

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-09-10 DOI: 10.1016/j.aprim.2025.103355

Álvaro Leyton-Hernández , Tamara Balbontín Astorga , Nicolás Madariaga Leyton , Nicolás Marín Lafferte , Francisca Tapia Peralta , Catalina Sena Muñoz , Matías Zárate Alfaro

Objective

To describe the perception of family functionality and vulnerability in households where at least one member has a chronic illness, identifying critical dimensions that may represent risk factors in the face of potential future dependency.

Design

Quantitative, cross-sectional, and descriptive study.

Setting

Educational institutions in the Coquimbo region, Chile.

Participants

The sample consisted of 385 individuals (184 high school students and 201 parents or legal guardians), selected through stratified probabilistic sampling.

Interventions

No interventions were conducted. Two validated instruments in primary care were applied: the Family APGAR and SALUFAM scales, along with a sociodemographic questionnaire.

Main outcome measures

Perceived family functionality (APGAR) and biopsychosocial vulnerability (SALUFAM) were assessed. Associations with sociodemographic variables were analyzed using non-parametric tests. Internal consistency was evaluated using Cronbach's alpha.

Results

Participants reported high perceived family functionality and low vulnerability. No statistically significant differences were found based on socioeconomic level or type of school. However, significant differences were observed in functionality perception by role (adults vs. adolescents) and by gender of the head of household, particularly in areas such as communication, decision-making, and family coping. Both instruments showed adequate internal consistency (α = .65 and .78, respectively).

Conclusions

Although the overall perception of family functioning was favorable, specific areas of fragility were identified that may pose risks in scenarios involving future dependency. Early assessment in primary care settings may support timely health promotion strategies, helping to prevent caregiver burden and strengthen family resilience.

目的描述至少有一名成员患有慢性疾病的家庭对家庭功能和脆弱性的看法，确定在面对潜在的未来依赖时可能代表风险因素的关键维度。设计定量、横断面和描述性研究。智利科金博地区的教育机构。样本由385个人组成（184名高中生和201名家长或法定监护人），通过分层概率抽样选择。干预措施：未进行干预。在初级保健中应用了两种有效的工具：家庭APGAR和SALUFAM量表，以及社会人口调查问卷。主要结果评估：感知家庭功能（APGAR）和生物心理社会脆弱性（SALUFAM）。使用非参数检验分析与社会人口变量的关系。内部一致性采用Cronbach’s alpha评价。结果参与者报告了高感知的家庭功能和低脆弱性。根据社会经济水平或学校类型，没有发现统计学上的显著差异。然而，根据角色（成人与青少年）和户主性别，在功能感知方面观察到显著差异，特别是在沟通、决策和家庭应对等领域。两种仪器均显示出足够的内部一致性(α = 0.65和。78年,分别)。结论：尽管家庭功能的整体认知是良好的，但在涉及未来依赖的情况下，确定了可能构成风险的特定脆弱性领域。初级保健机构的早期评估可支持及时的健康促进战略，有助于预防照顾者负担并加强家庭复原力。

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引用次数: 0

Distance to the nearest park and its relationship with metabolic health: A cross-sectional study in a Spanish adult cohort 到最近公园的距离及其与代谢健康的关系：西班牙成人队列的横断面研究

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-09-10 DOI: 10.1016/j.aprim.2025.103347

Irene Marcilla-Toribio , Maria Martinez-Andres , Bruno Bizzozero-Peroni , Ruth Martí-Lluch , Rafel Ramos , Blanca Notario-Pacheco

Objective

To analyse the relationships between park proximity and biomarkers, anthropometric measurements, and physical activity levels in a Spanish adult cohort.

Design

Cross-sectional study.

Site

Spain.

Participants

A subsample of Cuenca adults from the DESVELA project cohort.

Interventions

Not applicable.

Main measurements

A range of sociodemographic, lifestyle, environmental, anthropometric and biomarker measurements were analysed. Analysis of covariance was conducted while controlling for sex, age and education level; distance to the nearest park was categorized into percentiles.

Results

The study population comprised 174 individuals, 98 female (56.3%). The mean age of the participants was 51.7 ± 9.8 years, with a range of 33–76 years. Analysis of covariance was conducted while controlling for sex, age and education level; distance to the nearest park was categorized into percentiles. The results revealed statistically significant p-values for HDL cholesterol (p = 0.02), weight (p = 0.03), and body mass index (BMI) (p = 0.03), with additional trends toward significance for triglycerides (p = 0.06) and vigorous physical activity (p = 0.08).

Conclusions

Residing at a distance of up to 550 metres from a park is associated with higher levels of HDL cholesterol, as well as lower weight and body mass index, indicating more favorable metabolic profiles among those living closer to a park compared to those living farther away.

目的分析西班牙成人队列中公园邻近度与生物标志物、人体测量和身体活动水平之间的关系。设计横断面研究，sitespain，参与者：从DESVELA项目队列中抽取昆卡成人亚样本。InterventionsNot适用。主要测量方法：分析了社会人口学、生活方式、环境、人体测量和生物标志物测量的范围。在控制性别、年龄、文化程度的情况下，进行协方差分析；到最近的公园的距离被划分为百分位数。结果研究人群174只，其中雌性98只，占56.3%。参与者的平均年龄为51.7±9.8岁，年龄范围为33-76岁。在控制性别、年龄、文化程度的情况下，进行协方差分析；到最近的公园的距离被划分为百分位数。结果显示高密度脂蛋白胆固醇（p = 0.02）、体重（p = 0.03）和身体质量指数（BMI）（p = 0.03）的p值具有统计学意义，甘油三酯（p = 0.06）和剧烈运动（p = 0.08）的p值也有统计学意义。结论：居住在离公园550米远的地方，高密度脂蛋白胆固醇水平较高，体重和身体质量指数也较低，这表明住在公园附近的人比住在公园远处的人代谢状况更好。

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引用次数: 0

Reacciones adversas de los inhibidores de la GLP1, cuando se utilizan para tratar la obesidad en pacientes que no son diabéticos GLP1抑制剂用于治疗非糖尿病患者肥胖时的不良反应

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-09-09 DOI: 10.1016/j.aprim.2025.103372

María Estrella Barceló Colomer, Eladio Fernández Liz

引用次数: 0

Ética asistencial en atención primaria: construyendo espacios de reflexión 初级保健中的护理伦理：建立反思空间

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2025-09-09 DOI: 10.1016/j.aprim.2025.103350

Xavier Busquet-Duran , Judit Cos Busquets , Enric Gracia Jané , Noemí Trujillo Domínguez

引用次数: 0

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