Atencion Primaria最新文献

英文中文

Manejo en atención primaria de las infecciones de transmisión sexual (II). Lesión ulcerada genital. Vulvovaginitis. Virus del papiloma humano [性传播感染的初级保健管理（二）。生殖器溃疡。外阴阴道炎。人类乳头瘤病毒]。

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2024-06-26 DOI: 10.1016/j.aprim.2024.103012

Marta Borrull Carrera , Leonardo Barborini Valberde

引用次数: 0

Satisfacción de un programa social recibido por los estudiantes de una universidad de la ciudad de Huacho [华乔市一所大学的学生对社会项目的满意度]。

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2024-06-26 DOI: 10.1016/j.aprim.2024.103011

Alberto Valenzuela Muñoz , Carlos Bernardino Ruiz Huaraz , Marisel Roxana Valenzuela Ramos , Flor de María Lioo Jordan de Baldeos

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

Atencion Primaria

Pub Date : 2024-06-26 DOI: 10.1016/j.aprim.2024.103009

José Ramón Vázquez Díaz

引用次数: 0

Consideraciones críticas sobre el enfoque de las infecciones de transmisión sexual: hacia una visión más amplia [对性传播感染方法的批判性思考：走向更广阔的视野]。

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2024-06-26 DOI: 10.1016/j.aprim.2024.103010

Lorena Cara Serrano , Carlos Matías Salas Mora

引用次数: 0

Respuesta a la carta al director «Nuevas perspectivas en la evaluación del riesgo de caídas en personas mayores con el síndrome del declive» [回复致编辑的信 "衰退综合症老年人跌倒风险评估的新视角"]。

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2024-06-25 DOI: 10.1016/j.aprim.2024.103008

Gemma Riera Arias

引用次数: 0

Impact of the COVID-19 lockdown on the O'Sullivan test and gestational diabetes mellitus diagnosis in pregnant Spanish women COVID-19 封锁对西班牙孕妇奥沙利文测试和妊娠糖尿病诊断的影响。

IF 2.5 4区医学 Q2 Medicine

Atencion Primaria

Pub Date : 2024-06-17 DOI: 10.1016/j.aprim.2024.103006

Encarnación Ruiz Peláez , Esperanza Macarena Hurtado Algar , Teresa Martínez la Torre , Javier Sánchez-Romero , Iván Hernández-Caravaca

Objective

To analyze the impact of COVID-19 lockdown on serum glucose levels of pregnant women.

Design

A retrospective analysis of O'Sullivan test in pregnant women who underwent COVID-19 lockdown compared to controls.

Site

Poniente Primary Health Care center in Córdoba (Spain).

Participants

235 pregnant women from 23⁺⁰ to 25⁺⁰ weeks of gestation without diabetes mellitus.

Interventions

Gestational diabetes mellitus screening with O'Sullivan test and 3-h oral glucose tolerance test.

Main measurements

Pregnant women who underwent gestational diabetes mellitus screening with O'Sullivan test before (control group) and during COVID-19 Lockdown (Lockdown group) in Córdoba (Spain) were investigated. Lockdown group was divided in early and late lockdown. An additional, control group from data of the same months of the Lockdown in the previous year were recorded to discarded seasonally (adjusted seasonally control) this group was also divided in early and late seasonally adjusted.

A logistic regression model for O'Sullivan test has been performed to analyze potential cofounders. Kolgomorov–Smirnov and Kruskal–Wallis test comparing pregnant women who underwent COVID-19 lockdown with the two types of controls.

Results

Statistically significant differences were found in serum glucose after O'Sullivan test between lockdown group and control group (123.51 ± 26.02 mg/dL and 112.86 ± 31.28 mg/dL; p = 0.017). When early lockdown group and control group were compared no differences were found (119.64 ± 26.18 mg/dL vs. 112.86 ± 31.28 mg/dL; p > 0.05) whereas differences were observed in late lockdown group and control group (127.22 ± 25.59 mg/dL vs. 112.86 ± 31.28 mg/dL; p = 0.009). Statistical trends were also found between lockdown group and seasonally adjusted group and between lockdown and late seasonally adjusted group (p = 0.089). A higher proportion of positive O'Suvillan pregnant women who were subsequently diagnosed with GDM were found in lockdown group compared to the seasonally adjusted control group (60% vs. 26.06% respectively; p < 0.05).

Conclusions

The COVID-19 lockdown was associated with an increase in serum glucose levels after the O'Sullivan test as well as a higher GDM diagnosis risk in pregnant women. The findings of our study emphasize the essential requirement for comprehensive maternal services and the accessibility to community's health assets during future lockdown scenarios to pregnant women.

目的：分析COVID-19锁定对孕妇血清葡萄糖水平的影响：分析 COVID-19 禁用对孕妇血清葡萄糖水平的影响：设计：与对照组相比，对接受 COVID-19 封闭治疗的孕妇的奥沙利文试验进行回顾性分析。地点：科尔多瓦（西班牙）Poniente初级卫生保健中心。参与者：235名妊娠23+0周至25+0周、无糖尿病的孕妇：干预措施：通过奥沙利文试验和 3 小时口服葡萄糖耐量试验进行妊娠糖尿病筛查：调查了在科尔多瓦（西班牙）接受奥沙利文试验前（对照组）和 COVID-19 禁闭期间（禁闭组）进行妊娠糖尿病筛查的孕妇。禁闭组分为早期禁闭和晚期禁闭。另外，还记录了前一年封锁期间同月的对照组数据，并按季节将其剔除（按季节调整的对照组），该组也按季节调整分为早期和晚期。奥沙利文检验的逻辑回归模型用于分析潜在的共同始作俑者。将接受 COVID-19 封闭治疗的孕妇与两种对照组进行了 Kolgomorov-Smirnov 和 Kruskal-Wallis 检验：禁产组与对照组在奥沙利文试验后的血清葡萄糖差异有统计学意义（123.51±26.02mg/dL 和 112.86±31.28mg/dL；P=0.017）。锁定早期组与对照组比较未发现差异（119.64±26.18mg/dL vs. 112.86±31.28mg/dL；p>0.05），而锁定晚期组与对照组比较则发现差异（127.22±25.59mg/dL vs. 112.86±31.28mg/dL；p=0.009）。锁定组与季节调整组之间以及锁定组与晚期季节调整组之间也发现了统计趋势（P=0.089）。与季节调整对照组相比，锁定组中奥苏维兰阳性孕妇随后被诊断为 GDM 的比例更高（分别为 60% 对 26.06%；P 结论：COVID-19 禁产与奥沙利文试验后血清葡萄糖水平升高以及孕妇被诊断为 GDM 的风险升高有关。我们的研究结果强调，在未来的封锁情况下，孕妇必须获得全面的孕产妇服务和社区的医疗资源。

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引用次数: 0

Nuevas perspectivas en la evaluación del riesgo de caídas en personas mayores con el síndrome del declive [衰退综合征老年人跌倒风险评估的新视角]。

IF 2.5 4区医学 Q2 Medicine

Atencion Primaria

Pub Date : 2024-06-14 DOI: 10.1016/j.aprim.2024.102989

Mónica Gutiérrez Martínez , Núria Barrera

引用次数: 0

Prevalencia de inactividad física y riesgo de sarcopenia en atención primaria. Estudio transversal [初级保健中缺乏运动的普遍性和患肌肉疏松症的风险。横断面研究]。

IF 2.5 4区医学 Q2 Medicine

Atencion Primaria

Pub Date : 2024-06-13 DOI: 10.1016/j.aprim.2024.102993

Laura Illamola Martin , Antonio Granados Granados , Albert Sanllorente Melenchón , Juan José Rodríguez Cristobal , Mireia Broto Hernandez

Objectives

Assess the prevalence of physical inactivity and risk of sarcopenia in primary care patients and their companions.

Design

Cross-sectional study. We carried out an anonymous survey of primary care users (patients and companions) in primary care consultations and stands coinciding with a community health activity for World Physical Activity Day.

Site

Five primary care centers (CAPs) of the South Metropolitan health region: in Cornellà de Llobregat (CAP Jaume Soler), in l’Hospitalet de Llobregat (CAP Florida Nord, CAP Florida Sud and CAP Bellvitge) and in Viladecans (CAP Maria Bernades) between 27 March to April 6, 2023 (coinciding with World Physical Activity Day).

Participants

Primary care population consists of patients and their companions over 18 years of age.

Interventions

The health workers administered questionnaires to users and companions.

Main measurements

We evaluated physical inactivity with the BPAAT questionnaire, risk of sarcopenia with SARC-F screening test, sex and age range. We performed an univariate descriptive analysis to report prevalence.

Results

Nine hundred ninety-eight participants were surveyed. Physical inactivity was present in 38.9% of the participants. Among those over 50 years (665 participants), 15.4% were at risk of sarcopenia (9.58% men, 19.2% women).

Conclusions

The prevalence of physical inactivity and risk of sarcopenia (in individuals over 50 years old) in the studied population is high. Women have greater physical inactivity and a greater risk of sarcopenia than men.

目标评估初级保健患者及其陪护人员缺乏运动的普遍程度和患肌肉疏松症的风险：设计：横断面研究。我们对初级保健用户（患者和陪护人员）进行了匿名调查，调查地点在初级保健咨询处和看台上，与 "世界体育锻炼日 "的社区健康活动同时进行。调查地点2023年3月27日至4月6日期间（恰逢世界体育锻炼日），南大都会卫生区的五个初级保健中心（CAP）：Cornellà de Llobregat（CAP Jaume Soler）、l'Hospitalet de Llobregat（CAP Florida Nord、CAP Florida Sud 和 CAP Bellvitge）和 Viladecans（CAP Maria Bernades）：干预措施：干预措施：医护人员向患者和陪护人员发放问卷：我们通过 BPAAT 问卷评估了缺乏运动的情况，并通过 SARC-F 筛选测试、性别和年龄范围评估了患肌少症的风险。我们进行了单变量描述性分析，以报告患病率：共调查了 998 名参与者。38.9%的参与者缺乏运动。在 50 岁以上的参与者（665 人）中，15.4% 的人有患肌肉疏松症的风险（男性占 9.58%，女性占 19.2%）：结论：在所研究的人群中，（50 岁以上人群）缺乏运动和患肌肉疏松症风险的发生率很高。女性比男性更缺乏运动，患肌肉疏松症的风险也更高。

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引用次数: 0

Duration of severe and moderate symptoms in pharyngitis by cause 按病因分列的咽炎重度和中度症状持续时间。

IF 2.5 4区医学 Q2 Medicine

Atencion Primaria

Pub Date : 2024-06-13 DOI: 10.1016/j.aprim.2024.102994

Ana Moragas , Carolina Sarvisé , Frederic Gómez , Ester Picó-Plana , Silvia Crispi , Carl Llor

Objective

This study aimed to assess the cause of acute pharyngitis and determine the duration of severe and moderate symptoms based on the aetiology.

Design

Prospective observational study.

Site

One urban health care centre.

Participants

Patients aged 15 or older with acute pharyngitis were included.

Interventions

Bacterial identification was carried out in the microbiology lab using MALDI-TOF in two throat samples. Patients received a symptom diary to return after one week.

Main measurements

Number of days with severe symptoms, scoring 5 or more in any of the symptoms included in the symptom diary, and moderate symptoms, scoring 3 or more.

Results

Among the 149 patients recruited, beta-haemolytic streptococcus group A (GABHS) was the most common aetiology. Symptoms and signs alone as well as the mean Centor score cannot distinguish between GABHS and other bacterial causes in patients with acute pharyngitis. However, there was a trend indicating that infections caused by Streptococcus dysgalactiae and Streptococcus agalactiae presented more severe symptoms, whereas infections attributed to the Streptococcus anginosus group, Fusobacterium spp., and those where oropharyngeal microbiota was isolated tended to have milder symptoms. S. dysgalactiae infections showed a trend towards longer severe and moderate symptom duration.

Conclusion

GABHS was the most prevalent, but group C streptococcus caused more severe and prolonged symptoms.

研究目的本研究旨在评估急性咽炎的病因，并根据病因确定重度和中度症状的持续时间：前瞻性观察研究。地点：一家城市医疗中心：一家城市医疗中心：干预措施：干预措施：在微生物实验室使用 MALDI-TOF 对两份咽喉样本进行细菌鉴定。患者一周后将收到一份症状日记：主要测量指标：出现严重症状（症状日记中的任何症状达到或超过 5 分）和中度症状（症状日记中的任何症状达到或超过 3 分）的天数：在招募的 149 名患者中，最常见的病因是 A 组溶血性链球菌（GABHS）。在急性咽炎患者中，仅凭症状和体征以及平均 Centor 评分无法区分 GABHS 和其他细菌病因。不过，有一种趋势表明，由痢疾链球菌和无乳链球菌引起的感染症状更严重，而由鹅口疮链球菌、镰刀菌属和口咽微生物群引起的感染症状往往较轻。痢疾杆菌感染显示出重度和中度症状持续时间较长的趋势：结论：GABHS最常见，但C组链球菌引起的症状更严重、持续时间更长。

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引用次数: 0

25 años de la Semana Sin Humo semFYC (2000-2024) 半边天无烟周 25 周年（2000-2024 年）

IF 2.5 4区医学 Q2 Medicine

Atencion Primaria

Pub Date : 2024-06-08 DOI: 10.1016/j.aprim.2024.103004

Francisco Camarelles Guillem , Vidal Barchilon Cohen , Asensio López Santiago , Remedios Martin Álvarez

引用次数: 0

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