4,013 results match your criteria Atencion primaria / Sociedad Espanola de Medicina de Familia y Comunitaria[Journal]


[Comparación de la escala qSOFA para evaluar la falla orgánica secuencial y los criterios SIRS para sepsis a la cabecera de pacientes con bacteriemia por Staphylococcus aureus].

Biomedica 2020 May 1;40(Supl. 1):125-131. Epub 2020 May 1.

Grupo de Investigación en Medicina interna, Universidad Tecnológica de Pereira, Pereira, Colombia.

Introducción. Staphylococcus aureus es una de las principales causas de bacteriemia, adquirida en la comunidad o asociada con la atención en salud, la cual presenta un gran porcentaje de complicaciones y elevadas tasas de morbilidad y mortalidad. Los criterios SRIS (Systemic Inflammatory Response Syndrome) se han usado tradicionalmente con el fin de establecer la presencia de sepsis; sin embargo, recientemente se ha cuestionado su valor predictivo dada su baja sensibilidad y especificidad. Read More

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http://dx.doi.org/10.7705/biomedica.4943DOI Listing

[Lepra en la isla colombiana de Providencia].

Biomedica 2020 May 1;40(Supl. 1):26-31. Epub 2020 May 1.

Oficina de Docencia e Investigación, Hospital Universitario Centro Dermatológico Federico Lleras Acosta, Bogotá, D.C., Colombia; Facultad de Medicina, Universidad de la Sabana, Chía, Colombia.

San Andrés y Providencia son islas colombianas en el mar de las Antillas. San Andrés tiene 68.283 habitantes y allí se han registrado casos de lepra en inmigrantes provenientes del interior colombiano. Read More

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http://dx.doi.org/10.7705/biomedica.4974DOI Listing

Do Centenarians Die Healthier than Younger Elders? A Comparative Epidemiological Study in Spain.

J Clin Med 2020 May 21;9(5). Epub 2020 May 21.

Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), 28222 Madrid, Spain.

This study aims to describe the clinical course, drug use, and health services use characteristics during the last year of life of elders who die being centenarians and to identify key aspects differentiating them from elders who die at an earlier age, with a particular focus on sex differences. We conducted an observational, population-based study in the EpiChron Cohort (Aragón, Spain). The population was stratified by sex and into three age sub-populations (80-89, 90-99, and ≥100 years), and their characteristics were described and compared. Read More

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http://dx.doi.org/10.3390/jcm9051563DOI Listing

[Linagliptin and bullous pemphigoid: the story continues].

Semergen 2020 May 22. Epub 2020 May 22.

Centro de Atención Primaria Llefià (Badalona-6), Institut Català de la Salut, Badalona, Barcelona, España.

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http://dx.doi.org/10.1016/j.semerg.2020.03.005DOI Listing

[Implementation of a new referral model for the musculoskeletal care pathway: Does it improve healthcare outcomes?]

Rehabilitacion (Madr) 2020 May 22. Epub 2020 May 22.

Servicio de Medicina Física y Rehabilitación, Hospital Universitario de Valme, Área de Gestión Sanitaria Sur de Sevilla, Sevilla, España.

Objective: To evaluate the impact of an organisational change in the musculoskeletal referral pathway in our health management area (HMA) by identifying changes in the ability to improve healthcare outcomes by facilitating referral to the most suitable specialty.

Design: This prospective descriptive study aimed to evaluate referral trends from primary care services (PCS) and hospital care (PHS) to musculoskeletal services from 2012 to 2018.

Materials And Methods: We included all patients who were referred to any of the 3 musculoskeletal services from our HMA catchment area, without specifying sample size. Read More

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http://dx.doi.org/10.1016/j.rh.2020.02.002DOI Listing

Analysis of the dose-response relationship of leisure-time physical activity to cardiovascular disease and all-cause mortality: the REGICOR study.

Rev Esp Cardiol (Engl Ed) 2020 May 20. Epub 2020 May 20.

Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Barcelona, Spain; CIBER Enfermedades Cardiovasculares, Barcelona, Spain; Departamento de Medicina, Facultad de Medicina, Universidad de Vic-Central de Cataluña, Vic, Barcelona, Spain. Electronic address:

Introduction And Objectives: Regular leisure-time physical activity (LTPA) has been consistently recognized as a protective factor for cardiovascular diseases (CVD) and all-cause mortality. However, the pattern of this relationship is still not clear. The aim of this study was to assess the relationship of LTPA with incident CVD and mortality in a Spanish population. Read More

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http://dx.doi.org/10.1016/j.rec.2020.02.011DOI Listing

[Rehabilitation in the time of COVID-19].

Rehabilitacion (Madr) 2020 Apr 10. Epub 2020 Apr 10.

Servicio de Medicina física y rehabilitación, Hospital Mútua de Terrassa, Servicio de Medicina física y rehabilitación, Egarsat, Terrassa, Barcelona, España.

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http://dx.doi.org/10.1016/j.rh.2020.04.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151338PMC

Feasibility of implementing a preventive physical exercise programme recommended by general practitioners in cardiovascular risk patients: A pre-post comparison study.

Eur J Gen Pract 2020 Dec;26(1):71-78

Family Medicine, Servicio Murciano de Salud, Región de Murcia, Murcia, Spain.

Physical inactivity implies a significant individual and society health burden. To assess the feasibility of implementing a preventive physical exercise (PE) programme for the general population and to analyse changes in fitness-related variables and quality of life. Pre-post comparison study in which general practitioners and nurses recommended PE to participants with sedentary behaviour and hypertension or dyslipidaemia attending in primary care for primary prevention of ischaemic cardiovascular disease. Read More

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http://dx.doi.org/10.1080/13814788.2020.1760836DOI Listing
December 2020

Implementation experience of a guideline on fall prevention in Centres Committed to Excellence in Care®.

Enferm Clin 2020 May 18. Epub 2020 May 18.

Servicio de Medicina Preventiva, Hospital Dr. José Molina Orosa. Área de Salud de Lanzarote, Gerencia de Servicios Sanitarios, Arrecife, Lanzarote, España.

Aim: To describe the progress of implementing the «Preventing falls» Guideline of the Best Practice Spotlight Organization (BPSO®) Programme and fall outcomes in Centres Committed to Excellence in Care (CCEC®).

Method: A Quasi-experimental study pre-post test from a multicentric approach carried out between 2012-2018. The study is focused on patients aged 65 or older, discharged from guideline implementation units, analysing sociodemographic variables (sex, age, hospitalization days; fall risk assessment on admission and patient in risk; fall prevention plan; incidence of falls. Read More

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http://dx.doi.org/10.1016/j.enfcli.2020.03.015DOI Listing

[Access to complementary tests for the diagnosis of infectious diseases in primary care paediatric clinics].

An Pediatr (Barc) 2020 May 16. Epub 2020 May 16.

CS de Polanco, Cantabria, España.

Introduction: The performing of complementary tests in infectious processes can increase the diagnostic precision, the adequacy of treatments, as well as determining the epidemiology and pattern of bacterial resistance of the community. The Infectious Pathology Group of the Spanish Association of Primary Care Paediatrics (GPI-AEPap) has designed this study in order to determine the availability of complementary tests (CT) for paediatricians working in Primary Care of the public health system as well as their results.

Material And Methods: Observational cross-sectional descriptive national study was carried out using a voluntary self-report questionnaire distributed online to all AEPap members and to the subscribers of the PEDIAP distribution list between the months of April and May 2017. Read More

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http://dx.doi.org/10.1016/j.anpedi.2020.03.015DOI Listing

Management of a COVID-19 outbreak in a Hotel in Tenerife, Spain.

Int J Infect Dis 2020 May 17. Epub 2020 May 17.

Dirección General de Salud Pública, Comunidad Autónoma de las Islas Canarias, Tenerife, Spain.

Since the first accounts of SARS-CoV-2, authorities have encountered numerous unprecedented situations threatening public health. This rapid communication addresses events that led to the quarantining of a hotel in Tenerife, Spain and the effectiveness of the rapidly implemented control measures. In total, eight cases have been associated with the hotel. Read More

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http://dx.doi.org/10.1016/j.ijid.2020.05.047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231486PMC

[Emotional management of the health crisis by coronavirus: A narrative review].

Enferm Clin 2020 May 18. Epub 2020 May 18.

Instituto de Investigación en Cuidados del Ilustre Colegio de Enfermeros de Santa Cruz de Tenerife, Santa Cruz de Tenerife, España.

Objective: To make a synthesis of the available scientific evidence in the emotional management of the declared health crisis in the face of coronavirus.

Methods: A bibliographic search was made, without date limit, in Medline, CINAHL, PsycINFO, Scopus and Web of Science databases using the following keywords: "emotional management"; "health crisis" and "health crisis response". Initially; 73 studies were identified and; after selecting them according to eligibility criteria; 10 were included. Read More

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http://dx.doi.org/10.1016/j.enfcli.2020.05.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231732PMC

[Nursing care for controlling coronavirus infections in positive cases: a narrative review.]

Enferm Clin 2020 May 16. Epub 2020 May 16.

Gerencia de Atención Primaria de Tenerife, Servicio Canario de la Salud, Santa Cruz de Tenerife, España.

Objective: This review aims to map scientific evidence in nursing care aimed at controlling coronavirus infections.

Methods: A bibliographic search was conducted in the Medline, CINAHL, Scopus and WOS main databases, with no date limit and using the keywords "transmission", "infection", "contagious", "spreads", "coronavirinae", "coronavirus", "COVID 19", "sars cov 2", "nurses" and "nursing". Initially, 154 studies were identified and, after selecting them according to eligibility criteria, 16 were included. Read More

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http://dx.doi.org/10.1016/j.enfcli.2020.05.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229952PMC

Online survey about anesthesia-related practice and patient safety in Indian hospitals.

J Healthc Qual Res 2020 May 15. Epub 2020 May 15.

Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, India. Electronic address:

Background: Patient safety is a global concern, and anaesthesiologists are critically involved in patient safety-related measures and practices. Although anesthesia service has improved a lot over the last few decades, the information on the anesthesia practice and patient safety in India is lacking. The present survey was aimed to get the information on these aspects. Read More

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http://dx.doi.org/10.1016/j.jhqr.2020.03.005DOI Listing

Assessment of changes in the macula and optic nerve head using optical coherence tomography in patients with attention deficit hyperactivity disorder.

Arch Soc Esp Oftalmol 2020 May 15. Epub 2020 May 15.

Centro Internacional de Oftalmología Avanzada, Badajoz, España; Centro Internacional de Oftalmología Avanzada, Madrid, España; Facultad de Medicina, Universidad de Extremadura, Badajoz, España.

Introduction: To assess if there are any differences in macular and papillary thickness using optical coherence tomography (OCT) in patients with attention deficit hyperactivity disorder (ADHD) compared with a control group, including if there are differences between ADHD patients with and without treatment.

Methods: Prospective observational study including 92 eyes of 46 patients divided into 2 groups: 46 eyes of 23 patients with ADHD, and a control group of 46 eyes of 23 healthy patients. The group of patients with ADHD was subdivided into those on treatment with methylphenidate (n=28) and those not on treatment (n=18). Read More

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http://dx.doi.org/10.1016/j.oftal.2020.02.016DOI Listing

Implementation of the best practice guideline for pressure ulcer prevention: Development, results and sustainability.

Enferm Clin 2020 May 14. Epub 2020 May 14.

Unidad de Investigación, Hospital General La Mancha Centro, Gerencia de Atención Integrada de Alcázar de San Juan, Ciudad Real, España.

Aim: To assess the impact of implementing the "Risk Assessment and Prevention of Pressure Injuries (PI)" guideline on adherence to its recommendations, the prevalence of PI and the sustainability of results, and to analyse the implementation strategies, sustainability and barriers detected.

Methods: A retrospective observational study (June 2015 to December 2018). Two periods were studied (P1: Preparation and P2: Sustainability). Read More

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http://dx.doi.org/10.1016/j.enfcli.2020.04.001DOI Listing

[Standardized nursing languages and care plans. Perception of use and utility in primary healthcare].

Aten Primaria 2020 May 13. Epub 2020 May 13.

Dirección de Cuidados, Institut Català de la Salut, Barcelona, España; Instituto de Investigación Biomédica de Bellvitge (IDIBELL) , L'Hospitalet de Llobregat, Barcelona, España; Escuela Universitaria de Enfermería, Facultad de Medicina y Ciencias de la Salud, Universidad de Barcelona, Barcelona, España.

Objective: To identify opinions of Primary Healthcare nurses on the use and usefulness of standardised nursing care plans and traditional nursing language systems in the practice settings.

Design: Multicentre, observational, cross-sectional study.

Setting: Primary Healthcare centres in Catalonia. Read More

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http://dx.doi.org/10.1016/j.aprim.2019.10.005DOI Listing

[Does the Electronic Health Record reflect the social determinants of health from Primary Health Care?]

Aten Primaria 2020 May 13. Epub 2020 May 13.

Unidad Docente Multiprofesional de Atención Familiar y Comunitaria Centro, SERMAS, Madrid, España.

Objective: Analyze whether the use of Z codes in the Electronic Health Record (EHR) correlates with the socioeconomic reality of the population attended.

Design: Observational, descriptive, cross-sectional, ecological study.

Location: 90 health centres of two Primary Health Care (PHC) Departments of the Community of Madrid. Read More

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http://dx.doi.org/10.1016/j.aprim.2020.01.007DOI Listing

Use of renin-angiotensin-aldosterone system inhibitors and risk of COVID-19 requiring admission to hospital: a case-population study.

Lancet 2020 May 14. Epub 2020 May 14.

Department of Nephrology, University Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; Department of Medicine, University of Alcalá (IRYCIS), Alcalá de Henares, Madrid, Spain.

Background: Concerns have been raised about the possibility that inhibitors of the renin-angiotensin-aldosterone system (RAAS) could predispose individuals to severe COVID-19; however, epidemiological evidence is lacking. We report the results of a case-population study done in Madrid, Spain, since the outbreak of COVID-19.

Methods: In this case-population study, we consecutively selected patients aged 18 years or older with a PCR-confirmed diagnosis of COVID-19 requiring admission to hospital from seven hospitals in Madrid, who had been admitted between March 1 and March 24, 2020. Read More

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http://dx.doi.org/10.1016/S0140-6736(20)31030-8DOI Listing

Ischaemic Stroke in the Time of Coronavirus Disease 2019.

Eur J Neurol 2020 May 16. Epub 2020 May 16.

Stroke Unit, Department of Neurology, Hospital Universitario Miguel Servet, Zaragoza, Spain.

Each year, between 1.1 and 1.5 million Europeans have a stroke . Read More

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http://dx.doi.org/10.1111/ene.14327DOI Listing

Prevalence of chronic kidney disease and associated factors in the Spanish population attended in primary care: Results of the IBERICAN study.

Med Clin (Barc) 2020 May 12. Epub 2020 May 12.

Centro de Salud de Porto do Son, EOXI Santiago de Compostela, Santiago de Compostela, España.

Objectives: To determine the prevalence of chronic kidney disease (CKD) and the factors associated with impaired renal function in the population attended in primary care (PC).

Patients And Method: Cross-sectional and multicentre study carried out in the baseline patients of the IBERICAN study (Identificación de la poBlación Española de RIesgo CArdiovascular y reNal). CKD was considered with an estimated glomerular filtration (eGF) <60ml/min/1. Read More

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http://dx.doi.org/10.1016/j.medcli.2020.03.005DOI Listing

Do internists know what limitation of therapeutic effort means?

Rev Clin Esp 2020 May 12. Epub 2020 May 12.

Grupo de Trabajo de Bioética, Sociedad Española de Medicina Interna; Instituto de Ética Clínica Francisco Vallés, Universidad Europea, Madrid, España; Servicio de Medicina Interna, Hospital Universitario Fundación Alcorcón, Alcorcón (Madrid), España.

Objectives: To ascertain whether internists know what limitation of therapeutic effort (LTE) means and whether training in palliative care affects this understanding.

Methods: A survey was administered to Spanish internists on their knowledge of LTE and the training in palliative care.

Results: A total of 273 respondents completed the survey (mean age, 42±12 years), 80. Read More

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http://dx.doi.org/10.1016/j.rce.2020.01.005DOI Listing

Recommendations for eye care during the alarm state by the coronavirus disease pandemic COVID-19.

Arch Soc Esp Oftalmol 2020 Apr 25. Epub 2020 Apr 25.

Clínica Coatvisión, Sociedad Española de Oftalmología (SEO), Murcia, España.

Objective: Minimize exposure to the SARS-CoV-2, reduce the chances of cross-transmission between patients and healthcare personnel, and prevent the development of postoperative complications from the management of patients with eye diseases during the 2019 coronavirus disease pandemic (COVID-19).

Methods: COVID-19 literature review and consensus establishment between different Spanish ophthalmology societies in order to provide guidelines and recommendations of maximum resources primarily conditioned by the state of alert, confinement and social distancing that occurs in Spain since March 16, 2020.

Results: The recommendations will promote the adoption of action and protection measures for eye care in outpatient clinics, surgical areas and hospitalization, for unconfirmed (asymptomatic and symptomatic) and confirmed COVID-19 patients. Read More

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http://dx.doi.org/10.1016/j.oftal.2020.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183292PMC

Analytic attitude - focus or embodiment? Subtle communications in the transference/countertransference relationship.

Authors:
Susanna Wright

J Anal Psychol 2020 Jun;65(3):538-557

London.

The paper considers a 'befallment' that occurred in the course of analysis at a time when the focus of work was too much at a conscious level, dissociated from the patient's embodied and visceral depths. A rigidly held attitude of focal attention is considered as potentially a defence against embodied experiences of overwhelm and vulnerability that may haunt shadowy realms which remain unlit by the narrow beam of conscious awareness. Rather as a dream drifts in from the unconscious, an enactment by the analyst brought neglected aspects of the transference and countertransference relationship into the room. Read More

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http://dx.doi.org/10.1111/1468-5922.12599DOI Listing

Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemia: A rapid review & consensus of experts.

Med Intensiva 2020 Apr 15. Epub 2020 Apr 15.

Geriatría y Cuidados paliativos, Hospital Universitario de la Santa Creu de Vic, Central Catalonia Chronicity Research Group (C3RG), Universitat de Vic-UCC, Vic, Barcelona, España.

In view of the exceptional public health situation caused by the COVID-19 pandemic, a consensus work has been promoted from the ethics group of the Spanish Society of Intensive, Critical Medicine and Coronary Units (SEMICYUC), with the objective of finding some answers from ethics to the crossroads between the increase of people with intensive care needs and the effective availability of means. In a very short period, the medical practice framework has been changed to a 'catastrophe medicine' scenario, with the consequent change in the decision-making parameters. In this context, the allocation of resources or the prioritization of treatment become crucial elements, and it is important to have an ethical reference framework to be able to make the necessary clinical decisions. Read More

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http://dx.doi.org/10.1016/j.medin.2020.04.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158790PMC

Economic and Epidemiological Impact of an Improvement Plan for the Decrease of Ventilator-Associated Pneumonia in a Tertiary Hospital in Mexico.

J Patient Saf 2020 May 7. Epub 2020 May 7.

Dirección Médica, Hospital Juárez de México, Ciudad de México, México.

Introduction: The objective of this work is to measure the economic and epidemiological impact of the implementation of a comprehensive quality improvement plan (CQIP) for the prevention and reduction of ventilator-associated pneumonia (VAP) in the adult intensive care unit in a Mexican hospital.

Materials And Methods: A cross-sectional, ambispective, comparative, analytical, observational study was conducted with epidemiological data on cases of health care-associated infections and with information from the Hospital Epidemiological Surveillance Unit from August 2017 to July 2018.

Results: Before to the implementation of the CQIP, there were a total of 26 VAPs, with a rate of 32. Read More

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http://dx.doi.org/10.1097/PTS.0000000000000698DOI Listing

Gaps in Knowledge and Understanding of Patients With Metastatic Breast Cancer in Mexico.

Cancer Control 2020 Jan-Dec;27(1):1073274820920637

Departamento de Tumores Mamarios e Investigacion, Instituto Nacional de Cancerologia, Mexico City, Mexico.

There is paucity of data regarding the knowledge and understanding of patients with metastatic breast cancer (MBC) about their disease stage and treatment goals. This study assessed these patients' awareness of MBC incurability, topics reviewed with their oncologist, perceptions of having enough knowledge to participate in treatment decision-making, most helpful information source, and satisfaction with the information they received. For this purpose, 185 patients with MBC who attended follow-up medical appointments at a Mexican referral cancer center completed a survey designed by the Metastatic Breast Cancer Alliance. Read More

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http://dx.doi.org/10.1177/1073274820920637DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223866PMC

Prevalence of out-of-hospital nursing diagnosis for patients with chronic conditions: improving our understanding of complexity.

Emergencias 2020 Jun;32(3):211-212

Universidad de Málaga. Facultad de Ciencias de la Salud. Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, España.

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Seriousness of medication reconciliation errors in patients of advanced age in the emergency department.

Emergencias 2020 Jun;32(3):188-190

Servicio de Farmacia, Hospital Universitario Ramón y Cajal, Madrid, España.

Objectives: To analyze the seriousness of medication reconciliation errors (MREs) in the treatment of older patients admitted to an emergency department's acute geriatric unit. To identify and describe discrepancies, including the drug groups involved, and to explore risk factors.

Material And Methods: Prospective, observational 6-month study. Read More

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Risk for early death in acutely ill older adults attended by prehospital emergency medical services.

Emergencias 2020 Jun;32(3):177-184

Unidad de Análisis de Datos (UAD) del Instituto de Investigación Sanitaria del Hospital de la Princesa (IIS-IP), Madrid, España.

Objectives: To develop and validate a prehospital risk model to predict early in-hospital mortality (#48 hours) in patients aged 65 years or older.

Material And Methods: Prospective multicenter observational study in a cohort of patients aged 65 years or older attended by advanced life support emergency services and transferred to 5 Spanish hospitals between April 2018 and July 2019. We collected demographic, clinical and laboratory variables. Read More

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The Identification of Admixture Patterns Could Refine Pharmacogenetic Counseling: Analysis of a Population-Based Sample in Mexico.

Front Pharmacol 2020 22;11:324. Epub 2020 Apr 22.

Laboratorio de Genómica de Enfermedades Psiquiátricas y Neurodegenerativas, Instituto Nacional de Medicina Genómica (INMEGEN), Mexico City, Mexico.

Pharmacogenetic analysis has generated translational data that could be applied to guide treatments according to individual genetic variations. However, pharmacogenetic counseling in some (admixed) populations may require tailoring to different patterns of admixture. The identification and clustering of individuals with related admixture patterns in such populations could help to refine the practice of pharmacogenetic counseling. Read More

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http://dx.doi.org/10.3389/fphar.2020.00324DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188951PMC

[Author's reply to article: Contributions on the editorial: "Importance of Research Ethics Committees in Family Medicine"].

Aten Primaria 2020 Apr 30. Epub 2020 Apr 30.

Secretaria de la Junta Permanente de la semFYC. Responsable de investigación de la Junta Permanente de la semFYC desde 2016 a mayo de 2019. Responsable de Investigación del Grupo Comunicación y Salud de la semFYc entre 2009 y 2016. Profesora Asociada Clínica de la Universidad Autónoma de Barcelona.

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http://dx.doi.org/10.1016/j.aprim.2019.09.005DOI Listing

Tubular acute lymphangitis caused by Rickettsia sibirica mongolitimonae.

Enferm Infecc Microbiol Clin 2020 Apr 30. Epub 2020 Apr 30.

Servicio de Microbiología, Hospital General de Valencia, Valencia, España.

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http://dx.doi.org/10.1016/j.eimc.2020.03.002DOI Listing

Implementation of best practice guidelines for ostomy care and management: Care outcomes.

Enferm Clin 2020 Apr 28. Epub 2020 Apr 28.

Hospital de Medina del Campo, Medina del Campo, Valladolid, España.

Introduction: Care provided to ostomized people is crucial in their progress and rehabilitation. The Registered Nurses' Association of Ontario clinical practice guidelines include greatest evidence nursing interventions for ostomized patient care. The aim of the study is to analyze the impact on patients' care and health outcomes after Care and management of ostomy guideline implementation. Read More

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http://dx.doi.org/10.1016/j.enfcli.2019.10.029DOI Listing

[Feeding and nutrition efforts in the context of primary healthcare in BrazilMedidas relativas a la alimentación y la nutrición en la atención primaria de salud en Brasil].

Rev Panam Salud Publica 2020 23;44:e39. Epub 2020 Apr 23.

Ministério da Saúde, Secretaria de Atenção Primária à Saúde Departamento de Promoção da Saúde Coordenação-Geral de Alimentação e Nutrição Brasília (DF) Brasil Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Promoção da Saúde, Coordenação-Geral de Alimentação e Nutrição, Brasília (DF), Brasil.

In Brazil, the promotion, protection, and recovery of health are among the initiatives provided by the public and universal Unified Health System (SUS). The primary healthcare level (PHC), the preferred point of access to the system, plays the role of coordinating and ordinating health care services and actions in the network. In the context of PHC, feeding and nutrition efforts must be aligned with National Feeding and Nutrition Policy (PNAN) guidelines and may be supported by feeding and nutritional surveillance actions. Read More

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http://dx.doi.org/10.26633/RPSP.2020.39DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189826PMC

Implementation results of the assessment and management of pain guideline within Best Practice Spotlight Organisations (BPSO®).

Enferm Clin 2020 Apr 27. Epub 2020 Apr 27.

Área de Procesos, Investigación, Innovación y Sistemas de Información, Hospital Clínico San Carlos, Madrid, España.

Aim: to analyse the progress of implementing the process recommendations of the RNAO Assessment and Management of Pain guideline and health outcomes.

Method: An observational, longitudinal, retrospective study conducted in 3tertiary-level hospitals in Spain. All patients discharged over the last 5 days of each month from the units selected in the implementation process were included. Read More

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http://dx.doi.org/10.1016/j.enfcli.2020.04.002DOI Listing

Arterial stiffness and cardiovascular disease. What provides the pulse wave velocity measurement in clinical practice?

Rev Clin Esp 2020 Apr 24. Epub 2020 Apr 24.

Área de Atención Integrada de Riesgo Vascular, Hospital Moisès Broggi, Consorci Sanitari Integral, Sant Joan Despí, Barcelona, España; Servicio de Neurología, Hospital Moisès Broggi, Consorci Sanitari Integral, Sant Joan Despí, Barcelona, España.

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http://dx.doi.org/10.1016/j.rce.2020.01.006DOI Listing

Association between the 2018 WCRF/AICR and the Low-Risk Lifestyle Scores with Colorectal Cancer Risk in the Predimed Study.

J Clin Med 2020 Apr 23;9(4). Epub 2020 Apr 23.

Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Hospital Universitari San Joan de Reus, Institut d'Investigació Pere Virgili (IISPV), 43201 Reus, Spain.

Limited longitudinal studies have been conducted to evaluate colorectal cancer (CRC) incidence based on the updated 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) recommendations or other global lifestyle indices, and none in aged populations at high cardiovascular risk. We aimed to assess the association between CRC incidence and adherence to two emerging lifestyles indices (2018 WCRF/AICR score and another low-risk lifestyle (LRL) score comprising smoking status, alcohol consumption, physical activity, diet, and body mass index) in the Spanish PREvencion con DIeta MEDiterranea (PREDIMED) cohort. We studied 7216 elderly men and women at high cardiovascular risk. Read More

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http://dx.doi.org/10.3390/jcm9041215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230705PMC

Marginalization and fluorosis its relationship with dental caries in rural children in Mexico: A cross-sectional study.

Community Dent Health 2020 04 23. Epub 2020 Apr 23.

Departamento de Atención a la Salud, Universidad Autonoma Metropolitana, Mexico.

Objective: Examine the association between marginalization and fluorosis with caries experience in Mexican rural children aged 8-12, in Oaxaca, Mexico.

Methods: Cross-sectional study of 283 rural schoolchildren selected from two locations with high and medium levels of marginalization where the water fluoride concentration ranged from 2.0 to 2. Read More

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http://dx.doi.org/10.1922/CDH_00017Perez07DOI Listing

Base de Datos para la Investigación Farmacoepidemiológica en Atención Primaria (BIFAP): A data resource for pharmacoepidemiology in Spain.

Pharmacoepidemiol Drug Saf 2020 Apr 26. Epub 2020 Apr 26.

Pharmacoepidemiology and Pharmacovigilance Division, Medicines for Human Use Department, Spanish Agency for Medicines and Medical Devices (AEMPS), Madrid, Spain.

Purpose: Base de Datos para la Investigación Farmacoepidemiológica en Atención Primaria (BIFAP) is a population based database administered by the AEMPS (Spanish Agency for Medicines) of longitudinal electronic medical records (EMR) of patients attended in primary care. Its main purpose is to serve as source of information for independent studies on drug safety and support of medicines regulation activities. This article aim is to describe the characteristics of BIFAP, how to access the database and a summary of its potential for research. Read More

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http://dx.doi.org/10.1002/pds.5006DOI Listing

[Relationship between emotional intelligence and burnout syndrome in Primary Healthcare doctors].

Semergen 2020 Apr 24. Epub 2020 Apr 24.

Centro de Salud La Calzada II, Gijón, Asturias, España.

Aim: The purpose of this study is to analyse the relationship between emotional intelligence (EI) and burnout syndrome (BOS) in doctors in Primary Health Care.

Material And Methods: Cross-sectional descriptive study.

Setting: All healthcare centres and clinics in Asturias. Read More

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http://dx.doi.org/10.1016/j.semerg.2020.02.006DOI Listing

[Clinical involvement and symptoms of patients older than 65 years with COVID-19].

Aten Primaria 2020 Apr 4. Epub 2020 Apr 4.

Servicio de Medicina Interna, Hospital Clínico Universitario de Valladolid, Valladolid, España.

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http://dx.doi.org/10.1016/j.aprim.2020.03.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7129789PMC

Ospemifene efficacy and safety data in women with vulvovaginal atrophy.

Gynecol Endocrinol 2020 Apr 24:1-9. Epub 2020 Apr 24.

Clínica de Atención a la Mujer, DIATROS, Barcelona, Spain.

Vulvovaginal atrophy (VVA) is a frequent, underreported and underdiagnosed condition. Ospemifene is a third-generation Selective Estrogen Receptor Modulator (SERM) that has been shown to be effective in women with VVA and dyspareunia, vaginal dryness and vulvar vestibular symptoms. Some of the possible side effects included by FDA and EMA are hot flushes, headache, muscle spasms, vaginal bleeding and vaginal discharge. Read More

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http://dx.doi.org/10.1080/09513590.2020.1757058DOI Listing

Decreased Consumption of Added Fructose Reduces Waist Circumference and Blood Glucose Concentration in Patients with Overweight and Obesity. The DISFRUTE Study: A Randomised Trial in Primary Care.

Nutrients 2020 Apr 19;12(4). Epub 2020 Apr 19.

Unidad de Investigación de la Gerencia de Atención Primaria de Tenerife y del Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, 38010 Tenerife, Canary Islands, Spain.

The relationship between fructose intake and insulin resistance remains controversial. Our purpose was to determine whether a reduction in dietary fructose is effective in decreasing insulin resistance (HOMA2-IR). This field trial was conducted on 438 adults with overweight and obese status, without diabetes. Read More

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http://dx.doi.org/10.3390/nu12041149DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231003PMC

Sequence analysis of five exons of SLC6A4 gene in Mexican patients with anorexia nervosa and bulimia nervosa.

Gene 2020 Jul 18;748:144675. Epub 2020 Apr 18.

Clínica de Trastornos Alimentarios, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Calz. México-Xochimilco 101, Col. San Lorenzo Huipulco, Mexico City 14370, Mexico.

Background: Accumulating evidence indicates that alterations in the serotonin system are related to changes in eating behavior. The serotonin transporter is encoded by the SLC6A4 gene and has been an interesting candidate for anorexia nervosa- restrictive type (AN-R) and bulimia nervosa (BN). Interestingly, functional variants have been identified in the coding region that could contribute to understand the role of this gene in eating disorders. Read More

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http://dx.doi.org/10.1016/j.gene.2020.144675DOI Listing

Comparative analysis of heart failure management in two different media rural versus urban. (ALBAPIC Study).

Clin Investig Arterioscler 2020 Apr 16. Epub 2020 Apr 16.

Medicina Familiar, Gerencia Atención Integrada de Albacete, Albacete, España.

Objective: To know the epidemiological, clinical and therapeutic characteristics of patients with a diagnosis of HF treated in primary care of 2Health Areas of Albacete, Zone 5 A (characteristics of the Urban Center) and Casas Ibañez (characteristics of the Rural Center) as well as to highlight The main differences between the two.

Method: Descriptive and cross-sectional study, corresponding to the first phase of the ALBAPIC study. All patients in the area who met the inclusion criteria have been registered: Having a diagnosis of HF in the TURRIANO program (consultation program in Primary Care of Castilla la Mancha). Read More

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http://dx.doi.org/10.1016/j.arteri.2020.01.003DOI Listing

Access to care barriers for patients with Bipolar disorder in the United States.

J Healthc Qual Res 2020 Apr 15. Epub 2020 Apr 15.

Department of Social & Public Health Ohio University, Athens, OH, United States.

Background: The five major comorbidities associated with Bipolar Disorder (BPD) include anxiety disorder, substance abuse, attention deficit hyperactivity disorder, personality disorder, and other medical conditions. These conditions are extremely prevalent among patients with BPD. Additionally, the medications used to treat this disorder can cause severe weight gain, which leads to cardiovascular disease, type 2 diabetes, and other endocrine disorders. Read More

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http://dx.doi.org/10.1016/j.jhqr.2020.03.001DOI Listing

Implementation of the Best practice guideline: Stroke assessment across the continuum of care in hospitalised patients.

Enferm Clin 2020 Apr 14. Epub 2020 Apr 14.

Área de Formación Continuada e Investigación, Gerencia de Atención Integrada de Albacete, Albacete, España.

Introduction: Stroke is an important cause of morbidity and mortality in adults and implies high social and healthcare costs due to the consequences it causes. To minimize these, it is important to apply best practice guidelines that ensure evidence-based care and reduce clinical variability. The objective of the study is to evaluate the results of implantation of the Ictus Best Practice Guideline for attending in-hospital stroke patients. Read More

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http://dx.doi.org/10.1016/j.enfcli.2019.10.026DOI Listing