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Prevención primaria de la violencia de género [性别暴力的初级预防]。
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2023.102845
Gender-based violence is a serious public health problem and a violation of human rights. The vast scale of the problem indicates that it is necessary to advance in its primary prevention. The health sector has an important role to play, especially Primary Health Care, based on its community orientation and with the involvement of all members of the team.
The intervention framework defined by the acronym “RESPECT”, promoted by the World Health Organization, shows the 7 strategies that are currently promising to lead to reductions in gender-based violence, based on the best scientific evidence available to date.
Using a participatory, life-cycle approach, promoting coordination and partnership across sectors, and implementing combined interventions are some of the guiding principles from which to work today.
性别暴力是一个严重的公共卫生问题,也是对人权的侵犯。这一问题的严重性表明,有必要推进其初级预防工作。卫生部门可以发挥重要作用,特别是初级卫生保健,以社区为导向,让团队的所有成员都参与进来。世界卫生组织推广的 "尊重"(RESPECT)首字母缩略词定义的干预框架,显示了目前有希望减少基于性别的暴力的 7 项战略,其依据是迄今为止获得的最佳科学证据。采用参与式生命周期方法、促进各部门间的协调和伙伴关系以及实施综合干预措施,是当今工作的一些指导原则。
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引用次数: 0
Impacto de la atención a las víctimas de violencia de género en los y las profesionales de la salud [为性别暴力受害者提供护理对卫生专业人员的影响]。
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2023.102856
Professionals who work with women victims of gender violence face difficult emotional situations, and it is important to be aware of the emotions and feelings that the attitudes and behaviour of victims and aggressors generate in them. These emotions can become barriers to communication and seriously affect the professional's relationship with victims. Furthermore, they can generate situations of sustained stress, lead to emotional exhaustion, and affect their health, life, and work performance. We describe the consequences, risk factors and warning signs, as well as protective or resilience factors, that are important to know, and we list the current challenges and some recommendations for professionals and management in order to help prevent such effects and improve professional performance without health risks.
与性别暴力受害妇女打交道的专业人员会面临困难的情绪状况,因此必须了解受害者和施暴者的态度和行为对她们产生的情绪和感受。这些情绪会成为沟通的障碍,严重影响专业人员与受害者的关系。此外,这些情绪还会产生持续的压力,导致情绪衰竭,影响他们的健康、生活和工作表现。我们描述了必须了解的后果、风险因素和警示信号,以及保护或恢复因素,并列出了当前面临的挑战以及对专业人员和管理层的一些建议,以帮助预防此类影响,提高专业绩效,避免健康风险。
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引用次数: 0
Tratamiento no farmacológico del dolor crónico no oncológico en atención primaria. Una propuesta de uso sistemático del «Consejo breve en dolor» 初级保健中慢性非肿瘤性疼痛的非药物治疗。关于系统使用 "疼痛简要建议 "的建议。
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-30 DOI: 10.1016/j.aprim.2024.103119
María Victoria García Espinosa, Isabel Prieto Checa
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引用次数: 0
Metamizol y agranulocitosis. ¿Qué está ocurriendo en España? [甲硝唑与粒细胞减少症,西班牙的情况如何?]
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-30 DOI: 10.1016/j.aprim.2024.103088
Cristina Garcia del Campo C , Miguel Murcia Soler , Inocencia Martinez-Mir , Vicente Palop Larrea
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引用次数: 0
Mujer con hipertiroidismo y piernas en piel de naranja [患有橘皮病腿和甲状腺功能亢进症的女性]。
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-30 DOI: 10.1016/j.aprim.2024.103084
Salvador Labrador-Descalzo , Marta Valle-Coca , Daniel Mata-Cano
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引用次数: 0
Evaluación de la atención primaria en el manejo del infarto agudo de miocardio en centros comunitarios del sureste mexicano [墨西哥东南部社区中心急性心肌梗死管理中的初级保健评估]。
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-30 DOI: 10.1016/j.aprim.2024.103114
Juvenal Eduardo Salgado Montalvo, Jesús Arturo Solís Montero, Sergio Quiroz Gomez, Crystell Guadalupe Guzmán Priego, Karla del Socorro Celorio Méndez, Jorda Aleiria Albarran Melzer
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引用次数: 0
Cambios en las expectativas profesionales de los residentes de medicina de familia y comunitaria [家庭医学和社区居民专业期望的变化]。
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-30 DOI: 10.1016/j.aprim.2024.102990
Guillem Crego Vich
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引用次数: 0
Evaluación crítica de estrategias de abordaje del dolor crónico: propuestas para una atención más integral [对慢性疼痛应对策略的批判性评估:关于更全面护理的建议]。
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-30 DOI: 10.1016/j.aprim.2024.103005
Mireia Tenas Anglada , Horacio Valencia
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引用次数: 0
[Unhelpful believes about pain. Brief pain advice in primary care]. [关于疼痛的无益观点:初级保健中的简要疼痛建议]。
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-29 DOI: 10.1016/j.aprim.2024.103120
María Victoria García Espinosa, Silvia Fernanda García Vila, María Fernández de Paul, Patricia Moreno Carrero, Isabel Prieto Checa, Gema Izquierdo Enríquez

In chronic non-oncological pain, there is a gap between the recommendations and the usual clinical practice. To improve this situation, it is essential to address unhelpful beliefs about pain in patients and health professionals. We address cultural beliefs such as thinking that pain means damage to the tissue where it is felt, that pain originates in the area where it is perceived, that it is important to rest for the tissues to heal, or that drugs and surgery are the best treatments for pain. First, professionals need to reflect on their own beliefs and question their own clinical practice: what do I believe about pain? Are these beliefs in line with current evidence? Do I follow the recommendations of clinical practice guidelines? In this way, by aligning their beliefs with the evidence, professionals will be able to begin to give appropriate educational advice to patients.

在慢性非肿瘤性疼痛方面,建议与通常的临床实践之间存在差距。要改善这种状况,必须消除患者和医疗专业人员对疼痛的不良观念。我们要解决的文化观念包括:认为疼痛意味着感觉到疼痛的组织受到了损害、疼痛源自感觉到疼痛的部位、休息对组织愈合很重要,或者药物和手术是治疗疼痛的最佳方法。首先,专业人员需要反思自己的信念,质疑自己的临床实践:我对疼痛的信念是什么?这些信念是否符合当前的证据?我是否遵循了临床实践指南的建议?这样,通过将自己的信念与证据相统一,专业人员就能够开始向患者提供适当的教育建议。
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引用次数: 0
Comprendiendo la inseguridad alimentaria en familias rurales: un estudio de caso en Pueblo Nuevo (Córdoba, Colombia) [了解农村家庭的粮食不安全状况:哥伦比亚科尔多瓦 Pueblo Nuevo 案例研究]。
IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-28 DOI: 10.1016/j.aprim.2024.103109
Deiby Luz Pertuz-Guzmán , Linda María Chams-Chams , Nydia Nina Valencia-Jiménez , Jorge Arrieta-Díaz , Jaime Luna-Carrascal
The aim was to determine the possible association between food insecurity and the sociodemographic conditions of families in the rural area of Pueblo Nuevo, Córdoba, Colombia. It was a cross-sectional study using surveys to collect sociodemographic and food insecurity data in a rural area of Pueblo Nuevo, Córdoba, Colombia in which 391 families were surveyed to obtain relevant information. The Latin American and Caribbean Food Security Scale (ELCSA) survey was applied to evaluate the food security of the families. A descriptive analysis of qualitative and quantitative variables, and polyserial correlations to establish relationships between food insecurity and sociodemographic variables was held. Only 5 families (1%) showed adequate food security (AFS), while 235 families were in the severe food insecurity (SFI) category. Positive correlations were observed between types of food security and educational level (P < 0.023), family income (P < 0.001), and household size (P = 0.002). A high prevalence of food insecurity was evident in the studied families, influenced by household size, lack of income, and low educational levels.
该研究旨在确定哥伦比亚科尔多瓦省 Pueblo Nuevo 农村地区家庭的粮食不安全状况与社会人口状况之间可能存在的关联。这是一项横断面研究,通过调查收集哥伦比亚科尔多瓦省 Pueblo Nuevo 农村地区 391 个家庭的社会人口和粮食不安全数据,以获得相关信息。调查采用了拉丁美洲和加勒比食品安全量表 (ELCSA) 来评估这些家庭的食品安全状况。对定性和定量变量进行了描述性分析,并进行了多序列相关分析,以确定粮食不安全与社会人口变量之间的关系。只有 5 个家庭(1%)表现出足够的粮食保障(AFS),而 235 个家庭属于严重粮食不安全(SFI)类别。粮食安全类型与受教育程度呈正相关(P<0.05)。
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引用次数: 0
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Atencion Primaria
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