Atencion Primaria最新文献

英文中文

Conocimiento y actitudes sobre la vacuna del VPH en padres y madres de una institución educativa vulnerable del Perú 秘鲁弱势教育机构的家长对HPV疫苗的知识和态度

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-27 DOI: 10.1016/j.aprim.2025.103390

Shirley Anicia Aliaga Pichardo, Mercedes Acosta-Román, Gianmarco Garcia Curo

引用次数: 0

La prescripción de medicamentos en los equipos de atención primaria: el reto de la multidisciplinariedad y la seguridad del paciente 初级保健小组开药：多学科和患者安全的挑战

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-27 DOI: 10.1016/j.aprim.2026.103449

Lourdes Luzón-Oliver , María Pilar Astier-Peña

引用次数: 0

Estigma y aceptación de la telemedicina en salud mental rural peruana 秘鲁农村精神卫生中远程医疗的耻辱和接受

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-23 DOI: 10.1016/j.aprim.2025.103383

José Luis Rodríguez Eguizabal

引用次数: 0

Association between smoking and chronic low back pain among medical students 医学生吸烟与慢性腰痛的关系

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-22 DOI: 10.1016/j.aprim.2025.103414

Amar Kasim Almajidy, Zahraa Muhammed Jaleel, Safa Ahmed Ibrahim, Maryam Loay Jabbar

Introduction

On account of their demanding academic environment chronic low back (CLBP) is a common musculoskeletal disorder among medical students, which is particularly worrying. Smoking is a risk factor that is known to cause various health issues, and has been associated with CLBP, but the specific relationship between smoking and chronic low back pain has still not been well explored.

Objective

This study aims to investigate the association between smoking and chronic low back pain among medical students in Iraq.

Design

A descriptive cross-sectional design was employed, involving face-to-face interviews with 200 medical students aged 18 years and older. Data were collected on the demographic characteristics, smoking behaviors, and chronic pain experiences, using a pre-designed questionnaire. Statistical analysis was performed using SPSS (version 25) and employing chi-square tests to assess the association between the smoking status and chronic low back pain.

Site

Baghdad University, College of Medicine.

Participants

Two hundred medical students aged 18 years and older.

Interventions

No intervention.

Main measurements

Demographic characteristics, smoking behaviors, and chronic pain experiences.

Results

A significant proportion of students (51%) reported smoking currently, with cigarettes being the most commonly used product. The prevalence of CLBP was 64%, with an average pain severity of 4.6 (±1.61). Notably, among smokers, 81 individuals reported experiencing CLBP compared to 47 non-smokers (p = 0.0001), indicating a strong association between smoking and the presence of CLBP.

Conclusion

The findings highlight a significant association between smoking and CLBP among medical students, emphasizing the need for targeted interventions to address smoking cessation and the prevention of CLBP in this high-risk population. Further research is warranted to explore the underlying mechanisms and develop effective strategies for improving student health and well-being.

由于医学生的学习环境苛刻，慢性腰背（CLBP）是医学生中常见的肌肉骨骼疾病，尤其令人担忧。吸烟是已知的导致各种健康问题的危险因素，并与CLBP有关，但吸烟与慢性腰痛之间的具体关系仍未得到很好的探讨。目的探讨吸烟与伊拉克医学生慢性腰痛的关系。设计采用描述性横断面设计，对200名年龄在18岁及以上的医学生进行面对面访谈。使用预先设计的问卷收集有关人口统计学特征、吸烟行为和慢性疼痛经历的数据。采用SPSS （version 25）软件进行统计分析，采用卡方检验评估吸烟状况与慢性腰痛的相关性。地点：巴格达大学医学院参与者：200名年龄在18岁及以上的医学生。InterventionsNo干预。主要测量指标：人口统计学特征、吸烟行为和慢性疼痛经历。结果有相当比例的学生（51%）报告目前吸烟，香烟是最常用的产品。CLBP患病率为64%，平均疼痛严重程度为4.6（±1.61）。值得注意的是，在吸烟者中，81人报告有CLBP，而非吸烟者为47人（p = 0.0001），这表明吸烟与CLBP的存在有很强的关联。结论：研究结果强调了吸烟与医学生CLBP之间的显著关联，强调了在这一高危人群中有针对性地干预戒烟和预防CLBP的必要性。需要进一步的研究来探索潜在的机制，并制定有效的策略来改善学生的健康和福祉。

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引用次数: 0

Un artículo pionero: nuevas líneas de investigación en la experiencia del paciente en ecografía clínica 一篇开创性文章：临床超声患者体验的新研究方向

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-22 DOI: 10.1016/j.aprim.2025.103352

Inés María Fernández-Guerrero, Luis Contreras Briones, Celia Adriana Fignani Molina

引用次数: 0

County-specific HPV epidemiology and risk factors in remote Northwestern China: A community-based study 中国西北偏远地区县域HPV流行病学及危险因素：一项基于社区的研究

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-22 DOI: 10.1016/j.aprim.2025.103417

Tali Hayuehashi , Yan Wang

引用次数: 0

Proceso perinatal: salud mental y apoyo en pareja 围产期：心理健康和伴侣支持

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-22 DOI: 10.1016/j.aprim.2025.103420

Aldo Medina Gamero

引用次数: 0

Intoxications and knowledge about toxicological information centers in undergraduate students in the state of Jalisco, Mexico 墨西哥哈利斯科州大学生中毒及毒理学信息中心的知识

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-22 DOI: 10.1016/j.aprim.2025.103426

Eduardo Rojas-Prado , Mónica A. Hernández-Pérez , Alan O. Vázquez-Alvarez , Selene G. Huerta-Olvera

引用次数: 0

Psychotic symptoms in dementia: Calling for family-sensitive and multidisciplinary approaches at all levels of care 痴呆的精神病症状：呼吁在各级护理中采用家庭敏感和多学科方法

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-21 DOI: 10.1016/j.aprim.2025.103442

Marta Fournier , Manuel Gonçalves-Pereira

Psychotic symptoms and other neuropsychiatric manifestations in dementia are distressing conditions that deeply affect patients, carers, and staff. Low awareness and doubts about the competence of primary care services to intervene contribute to underdiagnosis and suboptimal management.

We critically discuss what may and may not be done in primary care, building on the case of a 79-year-old man with dementia who developed Capgras delusion (a typical misidentification syndrome), believing his wife was replaced by impostors. We highlight diagnostic and therapeutic challenges, discussing practical advice potentially applicable in many other neuropsychiatric conditions.

Referrals to specialists are needed but continuity of care and a family-sensitive practice remain crucial (this patient's symptoms and his wife's distress seemed to enhance each other in circular manners). Primary care is pivotal in relation-centred dementia management, to help address the biopsychosocial needs of patient and carers.

A multidisciplinary, task-sharing approach may improve dementia care, particularly in resource-limited settings.

痴呆症的精神病症状和其他神经精神表现是令人痛苦的状况，深深影响患者、护理人员和工作人员。对初级保健服务干预能力的认识和怀疑导致诊断不足和管理不理想。我们以一位79岁的老年痴呆症患者为例，批判性地讨论了在初级保健中什么可以做，什么不可以做，他患上了卡普格拉错觉（一种典型的误认综合征），认为他的妻子被骗子取代了。我们强调诊断和治疗的挑战，讨论可能适用于许多其他神经精神疾病的实用建议。转介给专家是必要的，但护理的连续性和对家庭敏感的做法仍然至关重要（这位病人的症状和他妻子的痛苦似乎以循环的方式相互增强）。初级保健在以关系为中心的痴呆症管理中至关重要，有助于解决患者和护理人员的生物心理社会需求。多学科、任务共享的方法可以改善痴呆症护理，特别是在资源有限的环境中。

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引用次数: 0

Detection of an outbreak of Mediterranean spotted fever in Primary Care 在初级保健中发现地中海斑疹热暴发。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-21 DOI: 10.1016/j.aprim.2025.103345

Marina Satorres Pérez , Cristian García Molina , Clara Isabel Pérez Ortiz

引用次数: 0

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