Atencion Primaria最新文献

{"title":"Actividades preventivas en la mujer. Actualización PAPPS 2024","authors":"Alberto López García-Franco ,&nbsp;Pablo Alonso-Coello ,&nbsp;Ana Pereira Iglesias ,&nbsp;Cristina González Fernádez ,&nbsp;Elisa Romero Pineda ,&nbsp;Jacinta Landa Goñi ,&nbsp;Grupo de la Mujer del PAPPS","doi":"10.1016/j.aprim.2024.103131","DOIUrl":"10.1016/j.aprim.2024.103131","url":null,"abstract":"<div><div>In the 2024 PAPPS update, we present preventive activities specific to women's health, except those related to cancer prevention (which are included in another document) and aspects related to differential morbidity of gender, which is a cross-cutting element for all working groups.</div><div>Contraception is an essential preventive activity; the right to decide both the number of children that they will have and when to have them is considered basic. We must inform about contraceptive methods, guaranteeing in follow-up their safety, efficacy, and effectiveness (tables are included on changing from one method to another to preserve contraceptive protection). We must inform about emergency contraception and propose it in in the event of unprotected intercourse. We will use opportunistic screening to do this, without needing to screen for thrombophilia or dyslipidaemia, but we will screen for hypertension.</div><div>Pregnancy is a major life experience and general practitioners should not ignore it. We should be competent at both preconception consultation (recommend folic acid intake, avoiding exposure to occupational and environmental hazards, screen for certain pathologies, and assess the intake of medication not indicated during pregnancy) and during follow-up of pregnancy. Whether or not we follow-up the pregnancy, we should not fail to monitor it, taking advantage of this period to promote healthy lifestyles and manage potential intercurrent events.</div><div>Menopause in general and osteoporosis in particular exemplify the strategy of medicalising life events that has been followed by different bodies and organisations. In our update we address the prevention and treatment of symptoms secondary to oestrogen deprivation. We also propose osteoporosis prevention, including bone density scanning according to the fracture risk in the next 10 years, therefore, bone density screening is not recommended in women under 60 years of age. We recommend the FRAX tool for assessing risk, or better, measuring hip fracture risk with prevalence data from the Community of Madrid. The indication for treatment is linked to the <em>Z</em>-score (bone mineral density compared with women of the same age), since this is a condition associated with aging, and not the <em>T</em>-score, which is used to compare women of 20 years of age.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103131"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevención primaria de la violencia de género","authors":"","doi":"10.1016/j.aprim.2023.102845","DOIUrl":"10.1016/j.aprim.2023.102845","url":null,"abstract":"<div><div>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.</div><div>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.</div><div>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.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102845"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacto de la atención a las víctimas de violencia de género en los y las profesionales de la salud","authors":"","doi":"10.1016/j.aprim.2023.102856","DOIUrl":"10.1016/j.aprim.2023.102856","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102856"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recomendaciones de prevención del cáncer. Actualización 2024","authors":"Cruz Bartolomé-Moreno ,&nbsp;Elena Melús-Palazón ,&nbsp;Carmen Vela-Vallespín ,&nbsp;Santi Arana-Ballestar ,&nbsp;Marta Gallego ,&nbsp;Jorge Navarro ,&nbsp;Begoña Bellas-Beceiro ,&nbsp;Grupos de expertos del PAPPS","doi":"10.1016/j.aprim.2024.103128","DOIUrl":"10.1016/j.aprim.2024.103128","url":null,"abstract":"<div><div>Cancer is one of the main causes of morbidity and mortality. Environmental factors along with lifestyle: tobacco and alcohol consumption, unhealthy diet and sedentary lifestyle and lack of physical activity, are some of the risk factors that have caused an increase in cancer.</div><div>This article updates the evidence and recommendations for cancer prevention strategies through screening in asymptomatic patients, as well as early detection of signs and symptoms in medium-risk and high-risk populations.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103128"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tratamiento no farmacológico del dolor crónico no oncológico en atención primaria. Una propuesta de uso sistemático del «Consejo breve en dolor»","authors":"María Victoria García Espinosa,&nbsp;Isabel Prieto Checa","doi":"10.1016/j.aprim.2024.103119","DOIUrl":"10.1016/j.aprim.2024.103119","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 12","pages":"Article 103119"},"PeriodicalIF":1.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142554453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metamizol y agranulocitosis. ¿Qué está ocurriendo en España?","authors":"Cristina Garcia del Campo C ,&nbsp;Miguel Murcia Soler ,&nbsp;Inocencia Martinez-Mir ,&nbsp;Vicente Palop Larrea","doi":"10.1016/j.aprim.2024.103088","DOIUrl":"10.1016/j.aprim.2024.103088","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 103088"},"PeriodicalIF":1.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mujer con hipertiroidismo y piernas en piel de naranja","authors":"Salvador Labrador-Descalzo ,&nbsp;Marta Valle-Coca ,&nbsp;Daniel Mata-Cano","doi":"10.1016/j.aprim.2024.103084","DOIUrl":"10.1016/j.aprim.2024.103084","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103084"},"PeriodicalIF":1.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluación de la atención primaria en el manejo del infarto agudo de miocardio en centros comunitarios del sureste mexicano","authors":"Juvenal Eduardo Salgado Montalvo,&nbsp;Jesús Arturo Solís Montero,&nbsp;Sergio Quiroz Gomez,&nbsp;Crystell Guadalupe Guzmán Priego,&nbsp;Karla del Socorro Celorio Méndez,&nbsp;Jorda Aleiria Albarran Melzer","doi":"10.1016/j.aprim.2024.103114","DOIUrl":"10.1016/j.aprim.2024.103114","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103114"},"PeriodicalIF":1.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cambios en las expectativas profesionales de los residentes de medicina de familia y comunitaria","authors":"Guillem Crego Vich","doi":"10.1016/j.aprim.2024.102990","DOIUrl":"10.1016/j.aprim.2024.102990","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 102990"},"PeriodicalIF":1.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluación crítica de estrategias de abordaje del dolor crónico: propuestas para una atención más integral","authors":"Mireia Tenas Anglada ,&nbsp;Horacio Valencia","doi":"10.1016/j.aprim.2024.103005","DOIUrl":"10.1016/j.aprim.2024.103005","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103005"},"PeriodicalIF":1.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}