3,484 results match your criteria Atencion primaria / Sociedad Espanola de Medicina de Familia y Comunitaria[Journal]


[Positioning for the management of arterial hypertension in Primary Care from the critical analysis of the American (2017) and European (2018) guidelines. Spanish Society of Primary Care Physicians (SEMERGEN)].

Semergen 2019 Apr 18. Epub 2019 Apr 18.

Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España.

The Scientific Societies of Primary Care, being the area in which there is a considerable prevalence of Arterial Hypertension (AHT), need to periodically evaluate the international guidelines for its management. This is particularly relevant when disparate guidelines make it difficult to make decisions in daily clinical practice. The present document has as its aim to analyse the changes and new developments proposed in the guidelines of the American College of Cardiology and the American Heart Association (ACC/AHA 2017), as well as in the guidelines of the European Society of Cardiology and European Society of Hypertension (ESC/ESH 2018). Read More

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http://dx.doi.org/10.1016/j.semerg.2019.02.003DOI Listing

[Use of complementary and alternative medicine in the infant population in the Spanish National Health Survey].

An Pediatr (Barc) 2019 Apr 12. Epub 2019 Apr 12.

Dispositivo de Cuidados Críticos y Urgencias (DCCU), Área de Gestión Sanitaria Sur de Sevilla, Servicio Andaluz de Salud, Sevilla, España.

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http://dx.doi.org/10.1016/j.anpedi.2018.11.001DOI Listing

[Gender perspective on informal care of children with rare diseases].

An Pediatr (Barc) 2019 Apr 11. Epub 2019 Apr 11.

Escuela Andaluza de Salud Pública, Granada, España.

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http://dx.doi.org/10.1016/j.anpedi.2019.03.001DOI Listing

[Thoracentesis in Primary Care].

Semergen 2019 Apr 11. Epub 2019 Apr 11.

Servicio de Neumología, Complejo Hospitalario Clínico-Universitario de Santiago, Estructura Organizativa de Xestión Integrada de Santiago de Compostela, Santiago de Compostela, España; Grupo interdisciplinar de investigación en Neumología, Instituto de Investigaciones Sanitarias de Santiago de Compostela (IDIS), Santiago de Compostela, España.

Thoracentesis is a simple test with few complications that provides relevant information in the diagnosis of a pleural effusion, through a correct interpretation of the pleural fluid analysis. An interesting initiative would be to incorporate this technique by those Primary Care teams that treat serious and complex patients, with difficulties in moving to specialised centres far from their homes. In this context, a good knowledge of the diagnostic possibilities offered by the pleural fluid analysis could be very useful in the hands of well trained staff to establish the aetiology of a pleural effusion and be able to initiate, as quickly as possible, its treatment. Read More

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http://dx.doi.org/10.1016/j.semerg.2019.02.005DOI Listing
April 2019
3 Reads

Standards for global cardiovascular risk management arteriosclerosis.

Clin Investig Arterioscler 2019 Apr 10. Epub 2019 Apr 10.

Unidad de Lípidos, Servicio de Medicina Interna, Hospital Universitario Virgen de la Victoria, Universidad de Málaga, Málaga, España.

One of the main goals of the Spanish Society of Arteriosclerosis is to contribute to a wider and greater knowledge of vascular disease, its prevention and treatment. Cardiovascular diseases are the leading cause of death in our country and also lead to a high degree of disability and health expenditure. Arteriosclerosis is a multifactorial disease, this is why its prevention requires a global approach that takes into account the different risk factors with which it is associated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02149168193004
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http://dx.doi.org/10.1016/j.arteri.2019.03.004DOI Listing
April 2019
2 Reads

Use of point-of-care tests and antibiotic prescribing in sore throat and lower respiratory infections by general practitioners.

Enferm Infecc Microbiol Clin 2019 Apr 10. Epub 2019 Apr 10.

Section of General Practice and Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Introduction: This study was aimed at assessing general practitioners' (GP) reliance on patient history, examination findings and the influence of the utilisation of point-of-care tests (POCT) in antibiotic prescribing for sore throat and lower respiratory tract infections (LRTI).

Methods: Audit-based study carried out in 2015. A group of GPs received an intervention six years earlier with provision of POCTs and another group of GPs acted as controls. Read More

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http://dx.doi.org/10.1016/j.eimc.2019.02.005DOI Listing
April 2019
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Facing the Growing Heroin Problem in Colombia: The New Methadone-assisted Treatment Programs.

Rev Colomb Psiquiatr 2019 Apr - Jun;48(2):96-104. Epub 2017 Sep 1.

División de Psiquiatría de la Adicción, Escuela de Medicina de la Universidad de Massachusetts, Worcester, Massachusetts, Estados Unidos de América; MAYU of New England, New Haven, Connecticut, Estados Unidos de América; Facultad de Postgrados, Dirección de Post-grados de Salud, Universidad EAN, Bogotá, Colombia.

Objective: Colombia is facing a rising epidemic of intravenous heroin use. Knowledge of the methadone-assisted treatment programs in the country is crucial in order to propose improvement strategies.

Methods: 13 programmes from priority regions were surveyed. Read More

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http://dx.doi.org/10.1016/j.rcp.2017.07.004DOI Listing
September 2017
1 Read

[Recommendations on the diagnosis and treatment of urinary tract infection].

An Pediatr (Barc) 2019 Apr 10. Epub 2019 Apr 10.

Sociedad Española de Infectología Pediátrica (SEIP), España; Comité de Medicamentos de la Asociación Española de Pediatría (CM-AEP), España.

Urinary tract infection (UTI) is defined as the growth of microorganisms in a sterile urine culture in a patient with compatible clinical symptoms. The presence of bacteria without any symptoms is known as asymptomatic bacteriuria, and does not require any treatment. In neonates and infants, fever is the guiding sign to suspecting a UTI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S16954033193013
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http://dx.doi.org/10.1016/j.anpedi.2019.02.009DOI Listing
April 2019
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[Primary care: Change needed to maintain quality].

Authors:
Joan Gené-Badia

Aten Primaria 2019 Apr 9. Epub 2019 Apr 9.

Editor adjunto de la revista Atención Primaria. Electronic address:

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http://dx.doi.org/10.1016/j.aprim.2019.03.002DOI Listing

Towards the definition of Sepsis-4: Diagnostic and prognostic power of biomarkers to improve the management of sepsis in the emergency department.

Med Clin (Barc) 2019 Apr 9. Epub 2019 Apr 9.

Facultad de Medicina, Universidad Continental de Lima, Lima, Perú; Sociedad Peruana de Medicina de Emergencias y Desastres.

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http://dx.doi.org/10.1016/j.medcli.2019.02.015DOI Listing

Health care services use among long-term breast cancer survivors: a systematic review.

J Cancer Surviv 2019 Apr 9. Epub 2019 Apr 9.

Department of Epidemiology and Evaluation, IMIM (Hospital del Mar Medical Research Institute), Passeig Marítim, 25-29, 08003, Barcelona, Spain.

Purpose: Long-term breast cancer survivors are women surviving at least 5 years after diagnosis. This systematic review aimed to summarize the main characteristics and patterns of healthcare service use (frequency of visits, health providers visited, and preventive care performed) among long-term breast cancer survivors.

Methods: We used standard Cochrane Collaboration methods and searched the MEDLINE and EMBASE databases up to January 2018. Read More

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http://dx.doi.org/10.1007/s11764-019-00755-zDOI Listing
April 2019
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Utility of radiological variables to predict the result of lumbar infusion test in the diagnosis of idiopathic normal pressure hydrocephalus.

World Neurosurg 2019 Apr 6. Epub 2019 Apr 6.

Gerencia de Atención Primaria de Salamanca, Salamanca, Salamanca, Spain.

Background: Diagnosis of idiopathic normal pressure hydrocephalus (iNPH) is based in clinical data, radiological variables and invasive cerebrospinal fluid (CSF) testing, such the lumbar infusion test. Several neuroimaging findings are inconclusively related with improvement after CSF shunt surgery. On the other hand, the CSF tests are annoying for the patients and have complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193100
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http://dx.doi.org/10.1016/j.wneu.2019.04.009DOI Listing
April 2019
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The nutrition of iodine in Spain. Needs for the future.

Endocrinol Diabetes Nutr 2019 Apr 5. Epub 2019 Apr 5.

Grupo Nutrición de Yodo. Área de conocimiento de la Tiroides-Sociedad Española de Endocrinología y Nutrición; Servicio de Endocrinología y Nutrición, Hospital Germans Trias i Pujol, Institut de Recerca Germans Trias i Pujol (IGTP), Badalona, España.

Although iodine nutrition in Spain has improved in recent years, the problem is not completely resolved. It is necessary that health institutions establish measures to ensure an adequate iodine nutrition of the population, especially among the highest risk groups (children and adolescents, women of childbearing age, pregnant women and nursing mothers). A low salt intake should be advised, but it should be iodized. Read More

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http://dx.doi.org/10.1016/j.endinu.2019.02.009DOI Listing
April 2019
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[Contribution of NOVA food groups to energy and nutrient supply in Mexican households].

Salud Publica Mex 2019 Mar-Apr;61(2):155-165

Departamento de Atención a la Salud, Universidad Autónoma Metropolitana, unidad Xochimilco. Ciudad de Mexico, Mexico.

Objective: To analyze the contribution of natural, processed and ultra-processed foods to energy and nutrient supply in Mexican households.

Materials And Methods: The database of the National Household Expenditure Survey 2013 was analyzed (n=58 001), which is a cross-sectional survey. Food supply (g/adult equivalent/day) and energy, macro- and micro-nutrient supplies were estimated. Read More

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http://www.saludpublica.mx/index.php/spm/article/view/8923
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http://dx.doi.org/10.21149/8923DOI Listing
July 2017
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[Primary care in Denmark].

Semergen 2019 Apr 4. Epub 2019 Apr 4.

Lægehuset Rudkøbing, Rudkøbing, Dinamarca.

Scandinavian countries have one of the best health services, as well as quality of life, in all Europe. It is often unknown why this is the case, with the language barrier being one of the most frequent and difficult to overcome. A summary of the Danish health system is presented in order to know its main virtues and use its tools to eventually make improvements in our national health system. Read More

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http://dx.doi.org/10.1016/j.semerg.2018.12.003DOI Listing
April 2019
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Impact of a Primary Care intervention on the colorectal cancer early detection programme.

Gastroenterol Hepatol 2019 Apr 4. Epub 2019 Apr 4.

Servicio de Medicina Preventiva y Epidemiología, Hospital Clínic de Barcelona, Barcelona, España.

Aim: To assess the effectiveness of a telephonic interview performed by primary care professionals among non-participants in the first round of the colorectal cancer early detection programme in the basic urban health area Guineueta in Barcelona, Spain.

Patients And Methods: The Primary Healthcare Team of La Guineueta contacted people who did not respond to the invitation to the first round of the colorectal cancer early detection programme using a standardised telephone call protocol. We analysed the impact of the intervention based on participation and diagnosed disease. Read More

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http://dx.doi.org/10.1016/j.gastrohep.2019.01.007DOI Listing
April 2019
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Nutrient adequacy and diet quality in a Mediterranean population with metabolic syndrome: A cross-sectional study.

Clin Nutr 2019 Mar 21. Epub 2019 Mar 21.

CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Spain; Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, Spain. Electronic address:

Background & Aims: Few studies have compared micronutrient intake and fulfilment of average requirements (EAR) in non-diabetic, pre-diabetic and diabetic adults at high cardiovascular risk. We assessed these variables in a large sample of participants in the PREDIMED-PLUS randomized trial of primary cardiovascular prevention with diet and physical activity.

Design: Baseline assessment of nutritional adequacy in n = 5792 men and women, aged 55-75 years, with overweight/obesity and some metabolic syndrome features. Read More

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http://dx.doi.org/10.1016/j.clnu.2019.03.018DOI Listing
March 2019
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Psychometric Evaluation of Lexical Diversity Indices in Spanish Narrative Samples From Children With and Without Developmental Language Disorder.

J Speech Lang Hear Res 2019 Jan;62(1):70-83

Hospital General Dr. Manuel Gea González, Instituto Mexicano para la Atención del Desarrollo del Niño, Mexico City, Mexico.

Purpose The purpose of the current study was to examine construct validity evidence for the following 4 lexical diversity measures for use in Spanish narrative samples of children with developmental language disorder and typical language development (TLD): (a) type-token ratio (TTR; Chotlos, 1944 ; Templin, 1957 ), (b) hypergeometric distribution D ( McCarthy & Jarvis, 2010 ), (c) measure of textual lexical diversity (MTLD; McCarthy, 2005 ), and (d) moving-average TTR (MATTR; Covington & McFall, 2010 ). Method A multiple-group, confirmatory factor analytic stepwise procedure was applied to examine factorial invariance in a sample of 435 monolingual Spanish-speaking children (335 with TLD and 100 with specific language impairment). Results MATTR was the strongest indicator of the lexical diversity of a sample and demonstrated measurement invariance across children with TLD and specific language impairment. Read More

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http://pubs.asha.org/doi/10.1044/2018_JSLHR-L-18-0110
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http://dx.doi.org/10.1044/2018_JSLHR-L-18-0110DOI Listing
January 2019
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Psychological profile and disease-coping strategies of patients on the waiting list for liver transplantation.

Cir Esp 2019 Apr 1. Epub 2019 Apr 1.

Centro Regional de Trasplantes, Consejería de Sanidad, Servicio Murciano de Salud, Murcia, España; Departamento de Cirugía, Facultad de Medicina, Universidad de Murcia, Murcia, España; Servicio de Cirugía, Hospital Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, Murcia, España; Instituto Murciano de Investigación Bio-Sanitaria Virgen de la Arrixaca (IMIB-Arrixaca), Murcia, España.

Aim: To determine the psychological characteristics of patients on the liver transplant waiting list; to analye the implications of the patient's psychological profile on coping with the disease.

Material And Methods: Study population: patients on the liver transplant waiting list. Psychological-profile: Socio-personal history; Mini Mental State Examination; Brief-Symptom Inventory of psychopathological problems; International Neuropsychiatric Interview; Family APGAR questionnaire; Social Support Questionnaire. Read More

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http://dx.doi.org/10.1016/j.ciresp.2019.02.004DOI Listing
April 2019
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Sleep Duration is Inversely Associated with Serum Uric Acid Concentrations and Uric Acid to Creatinine Ratio in an Elderly Mediterranean Population at High Cardiovascular Risk.

Nutrients 2019 Apr 1;11(4). Epub 2019 Apr 1.

Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició, 43201 Reus, Spain.

The aim of the study was to evaluate sleep duration and sleep variability in relation to serum uric acid (SUA) concentrations and SUA to creatinine ratio. This is a cross-sectional analysis of baseline data from 1842 elderly participants with overweight/obesity and metabolic syndromein the (Prevención con Dieta Mediterránea) PREDIMED-Plus trial. Accelerometry-derived sleep duration and sleep variability were measured. Read More

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http://dx.doi.org/10.3390/nu11040761DOI Listing
April 2019
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[Pancytopenia secondary to methotrexate poisoning in an elderly patient].

Semergen 2019 Mar 29. Epub 2019 Mar 29.

Equipo de Atención Primaria de Río de Janeiro, Barcelona, España.

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http://dx.doi.org/10.1016/j.semerg.2018.12.002DOI Listing

[Descriptive analysis of medication errors notified by Primary Health Care: Learning from errors].

Aten Primaria 2019 Mar 29. Epub 2019 Mar 29.

Área de Calidad y Seguridad del Paciente de la Gerencia Asistencial de Atención Primaria del Servicio Madrileño de Salud, Madrid, España.

Introduction And Objectives: Aim of this study is to determine the setting, causes, and the harm of medication errors (ME) which are notified by Primary Health Care.

Material And Methods: Setting: Primary Care Regional Health Service of Madrid. 2016. Read More

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http://dx.doi.org/10.1016/j.aprim.2019.01.006DOI Listing
March 2019
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Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk.

Nutrients 2019 Mar 30;11(4). Epub 2019 Mar 30.

CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain.

Background: Nut consumption has been associated with improved nutrient adequacy and diet quality in healthy adult populations but this association has never been explored in individuals at high cardiovascular risk.

Objective: to assess the associations between consumption of nuts and nutrient adequacy and diet quality in a Mediterranean population at high cardiovascular risk.

Design: baseline assessment of nutritional adequacy in participants ( = 6060, men and women, with ages 55⁻75 years old, with overweight/obesity and metabolic syndrome) in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Read More

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https://www.mdpi.com/2072-6643/11/4/754
Publisher Site
http://dx.doi.org/10.3390/nu11040754DOI Listing
March 2019
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Referral criteria for asthma: Consensus document.

J Investig Allergol Clin Immunol 2019 04 1. Epub 2019 Apr 1.

Sociedad Española de Neumología y Cirugía Torácica (SEPAR).

Asthma is one of the most prevalent chronic diseases in Spain. Current treatments ensure that the disease is controlled in most cases. However, disease is often uncontrolled in daily clinical practice, mainly owing to underdiagnosis, loss to follow-up, and poor adherence to therapy. Read More

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http://dx.doi.org/10.18176/jiaci.0393DOI Listing
April 2019
2 Reads

Reclassification by applying the Framingham equation 30 years to subjects with intermediate cardiovascular risk. MARK study.

Med Clin (Barc) 2019 Mar 28. Epub 2019 Mar 28.

redIAPP: Research Network in Preventive Activities and Health Promotion, Spain.

Background And Objective: The estimation of cardiovascular risk (CVR) with scores at 30 years old has a special interest in reclassifying in a suitable way <60 year subjects with intermediate CVR. This study analyzes what percentage of patients with intermediate CVR included in the MARK study is reclassified by applying the 30-year Framingham score (FS30). It also analyzes the degree of agreement between the two equations to classify high risk subjects. Read More

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http://dx.doi.org/10.1016/j.medcli.2019.01.033DOI Listing
March 2019
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Examining Development Processes for Text Messaging Interventions to Prevent Cardiovascular Disease: Systematic Literature Review.

JMIR Mhealth Uhealth 2019 Mar 29;7(3):e12191. Epub 2019 Mar 29.

Radcliffe Observatory Quarter, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.

Background: Interventions delivered by mobile phones have the potential to prevent cardiovascular disease (CVD) by supporting behavior change toward healthier lifestyles and treatment adherence. To allow replication and adaptation of these interventions across settings, it is important to fully understand how they have been developed. However, the development processes of these interventions have not previously been systematically examined. Read More

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http://dx.doi.org/10.2196/12191DOI Listing
March 2019
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Correction to: Recommendations for follow‑up of colorectal cancer survivors.

Clin Transl Oncol 2019 Mar 28. Epub 2019 Mar 28.

Hospital Universitario Fundación Alcorcón, Madrid, Spain.

In the published article, the following information was missing. Read More

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http://dx.doi.org/10.1007/s12094-019-02088-wDOI Listing

[Program for the adaptation of the use of paracetamol to lower and safer doses: Implementation and results].

Aten Primaria 2019 Mar 23. Epub 2019 Mar 23.

Universidad de Granada, Granada, España; Servicio de Farmacia, Hospital Universitario Virgen Macarena, Sevilla, España.

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http://dx.doi.org/10.1016/j.aprim.2018.09.011DOI Listing

Opioid consumption in the Community of Madrid (Spain) between 2004 and 2014.

Rev Clin Esp 2019 Mar 23. Epub 2019 Mar 23.

Unidad de Cuidados Paliativos, Hospital Universitario La Paz, Servicio Madrileño de Salud, Madrid, España.

Background And Objectives: Opioid consumption is an appropriate indicator of pain treatment. In Spain, there are scarcely any studies on the evolution of the consumption of opioids and their detailed use in the various settings.

Material And Methods: We conducted an analytical, observational, retrospective study of prescriptions performed in the Community of Madrid in all primary care and specialized care centres and the three major hospitals between 2004 and 2014 to determine the influence of the various departments on the prescription of opioids. Read More

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http://dx.doi.org/10.1016/j.rce.2019.02.002DOI Listing
March 2019
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Assessment of a multidiscliplinary intervention in patients with BMI ≥35Kg/m2 and recently diagnosed type 2 diabetes.

J Clin Endocrinol Metab 2019 Mar 26. Epub 2019 Mar 26.

Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Mexico City, Mexico.

Context: Patients with BMI ≥35 Kg/m2 have lower benefits with intensive treatments and metabolic control goals are more difficult to reach.

Objective: Evaluate the effect of a comprehensive care program in patients with BMI ≥35 Kg/m2.

Design: Prospective cohort study. Read More

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http://dx.doi.org/10.1210/jc.2018-01148DOI Listing
March 2019
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[Poverty and its influence on risk and family damage in a district of Lima, Peru: results by sector analysis and Primary Health Care].

Semergen 2019 Mar 22. Epub 2019 Mar 22.

Servicio de Neurología, Departamento de Medicina y Oficina de Apoyo a la Docencia Investigación (OADI), Hospital Daniel Alcides Carrión, Callao, Perú; Red de Eficacia Clínica y Sanitaria, REDECS, Lima, Perú; Universidad Científica del Sur, Facultad de Ciencias de la Salud, Lima, Perú.

Objective: Poverty generates negative effects on health, education, and family environment. Sectoral analysis through its components enables to identify the risk groups and damage in the families. The objective of this work is to determine the state of poverty and its influence on the risk and family damage in the district of Villa Maria del Triunfo (VMT), Lima, Peru. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S11383593193005
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http://dx.doi.org/10.1016/j.semerg.2019.02.007DOI Listing
March 2019
3 Reads

Ethical conflicts in nursing care in the prison context.

Rev Esp Sanid Penit 2018 Sep-Dec;20(3):95-102

Facultat d'Infermeria i Fisioteràpia. Universitat de Lleida, Lérida.

Objective: The general objective of the study is to gather the corresponding evidence with the ethical conflicts that may affect penitentiary nurses.

Methods: The methodology used consists methodology used consists in a systematic review of narrative analysis in the mayor data-bases by means of an applied search strategy and critical appraisal skills programme español (CASPe).

Results: A total of 167 studies published between 1998 and 2017 were identified, of which 60 met the inclusion criteria. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463326PMC
December 2017
5 Reads

The association of clinical insight and depression with quality of life in schizophrenia.

Psychiatry Res 2019 Mar 19:12285. Epub 2019 Mar 19.

Psychiatry Department, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.

This study assesses how insight influences depression and Quality of Life (QOL) in schizophrenia-spectrum outpatients and whether depression modifies the relationship between insight and QOL. 141 patients with schizophrenia or schizoaffective disorders with stable disease completed the EUROQOL-5D-5L and SQLS-R4, SAI-E and Calgary scales. Univariate and multivariate linear regression models were fitted to assess whether insight was related to QOL and/or depression. Read More

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http://dx.doi.org/10.1016/j.psychres.2019.02.069DOI Listing
March 2019
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[Impact of Primary Care nursing clinics on the adherence to the Mediterranean diet in patients with ischaemic heart disease].

Aten Primaria 2019 Mar 16. Epub 2019 Mar 16.

Enfermería, Equipo de Atención Primaria Plaça Catalunya, Centro de Atención Primaria Bages (CAP Bages), Gerència Territorial Catalunya Central, Institut Català de la Salut, Departament de Salut, Generalitat de Catalunya, Manresa, Barcelona, España.

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http://dx.doi.org/10.1016/j.aprim.2019.01.012DOI Listing

Neutrophil-to-lymphocyte ratio as a serum biomarker associated with community acquired pneumonia

Rev Med Inst Mex Seguro Soc 2019 Mar 15;56(6):537-543. Epub 2019 Mar 15.

Instituto Mexicano del Seguro Social, Unidad Médica de Atención Ambulatoria 01, Servicio de Neumología e Inhaloterapia. Mérida, Yucatán, México.

Background: Community acquired pneumonia (CAP) is the main infectious cause of mortality in the world. Several scales evaluates outcomes, however the current tendency favors using biomarkers as surrogates of clinical prognosis.

Objective: To evaluate utility of neutrophil-to-lymphocyte ratio to identify severe patients according to Pneumonia Severity Index scale. Read More

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March 2019
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Association between BDNF Val66Met polymorphism and generalized anxiety disorder and clinical characteristics in a Mexican population: A case-control study.

Medicine (Baltimore) 2019 Mar;98(11):e14838

Servicios de Atención Psiquiátrica (SAP), Instituto Nacional de Medicina Genómica (INMEGEN), Ciudad de México, México.

The aim of the present case-control study was to explore the association between BDNF Val66Met (rs6265) polymorphism and generalized anxiety disorder in Mexican individuals, and whether this polymorphism plays a role in the symptomatology of anxiety.A total of 212 subjects were included in the study. Around 75 patients with generalized anxiety disorder were diagnosed by psychiatrists based on the DSM-IV instrument and 137 unrelated subjects psychiatrically healthy were used as comparison group. Read More

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http://dx.doi.org/10.1097/MD.0000000000014838DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426483PMC
March 2019
1 Read

Quadruple pregnancy after post-IVF/ICSI transfer of blastocysts.

Rev Int Androl 2019 Mar 14. Epub 2019 Mar 14.

UGC Intercentros Hospitales Universitarios Puerta del Mar/Puerto Real Atención Integral a la Mujer, Cádiz, Spain.

Clinical case of a quadruple pregnancy (monochorionic diamniotic and dichorionic diamniotic) after the transfer of two blastocysts generated by intracytoplasmic sperm injection (ICSI). This is the case of a 29-year-old woman patient with transfer of two blastocysts after long cultivation of 6 embryos generated by ICSI and vitrified on day +3. This revealed quadruple clinical pregnancy (monochorionic diamniotic and dichorionic diamniotic) of 56 days of evolution by transvaginal ultrasound. Read More

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http://dx.doi.org/10.1016/j.androl.2018.11.001DOI Listing

[What would you do with a patient with non-valvular atrial fibrillation treated with direct-acting oral anticoagulants who had to undergo gastroscopy or colonoscopy?]

Semergen 2019 Mar 12. Epub 2019 Mar 12.

Enfermería, EAP Raval Nord, Atención Primaria, Institut Català de la Salut, Barcelona, España.

In Spain, approximately 25% of patients anticoagulated due to non-valvular atrial fibrillation use a direct-acting anticoagulant (DOAC). It is foreseeable that most of them at some point in their lives should undergo invasive procedures or surgical treatments. This makes the management of DOAC in these situations essential in order to perform the procedure with maximum safety and minimise the risk to the maximum of haemorrhage and thrombosis. Read More

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http://dx.doi.org/10.1016/j.semerg.2019.01.003DOI Listing
March 2019
1 Read

Mindfulness, rumination, and coping skills in young women with Eating Disorders: A comparative study with healthy controls.

PLoS One 2019 15;14(3):e0213985. Epub 2019 Mar 15.

Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, United States of America.

Eating Disorders (ED) have been associated with dysfunctional coping strategies, such as rumination. Promoting alternative ways of experiencing mental events, based on a mindfulness approach, might be the clue for learning more effective coping and regulatory strategies among young women with ED. This study examined the comparison between patients with ED diagnosis and healthy subjects in mindfulness, rumination and effective coping. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213985PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420013PMC
March 2019
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Plantar pressure improvement in moderate hallux valgus with modified chevron osteotomy: Clinical and radiographic outcomes.

Foot Ankle Surg 2019 Feb 27. Epub 2019 Feb 27.

Family Medicine Chair, Department of Clinical Medicine, Miguel Hernandez University, San Juan de Alicante, Spain.

Background: Hallux valgus (HV) is widely treated by Chevron osteotomy (CO); however, a modified CO may improve patient outcomes and recovery.

Methods: A prospective study was designed to analyze plantar pressure measurements and clinical and radiographic outcomes of a modified CO for HV. Recruitment was between February 2016 and February 2017. Read More

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http://dx.doi.org/10.1016/j.fas.2019.02.006DOI Listing
February 2019

[To promote knowledge on patient safety: the case of the Biblioteca Breve de Seguridad del Paciente (Brief Patient Safety Library)].

Rev Esp Salud Publica 2019 Mar 12;93. Epub 2019 Mar 12.

Servicio Medicina Preventiva. Hospital Universitario Ramón y Cajal. Consejería de Sanidad. Comunidad de Madrid. España.

Objective: Within the framework of the Patient Safety Strategy 2015-2020, the Regional Ministry of Health of the Community of Madrid developed two lines of action to consolidate the Patient Safety Culture through the dissemination of scientific knowledge in Patient Safety. The main objective was to identify, disseminate and improve access to relevant information on patient safety for patient-citizens, professionals and the organization itself through a pool of resources accessible on the Internet and intranet.

Methods: After an analysis of the tools and communication channels available to disseminate knowledge in patient safety, the references of interest were selected by a group of experts, a consultation tool was developed in a navigable format on the internet and various dissemination actions were carried out to make it known. Read More

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March 2019
2 Reads

[Prevalence of insomnia and characteristic of patients with insomnia in a health area of Majorca (Spain)].

Aten Primaria 2019 Mar 8. Epub 2019 Mar 8.

Unidad Docente Multiprofesional de Atención Familiar y Comunitaria, Gerencia de Atención Primaria de Mallorca, Ibsalut, Islas Baleares, España; Instituto de Investigación Sanitaria de las Islas Baleares (idISBA), Palma de Mallorca, Islas Baleares.

Objectives: To estimate insomnia prevalence as well as habits comorbidity, sleep quality of insomnia patients.

Design: Cross sectional descriptive study.

Setting: Calvia health center (Majorca, Spain). Read More

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http://dx.doi.org/10.1016/j.aprim.2018.02.014DOI Listing
March 2019
1 Read

[Seasonal variability of blood pressure: Summer-winter differences detected by ambulatory monitoring].

Hipertens Riesgo Vasc 2019 Apr - Jun;36(2):110-113. Epub 2019 Mar 6.

Centro de Atención Primaria Llefià, Unidad Docente de Medicina Familiar y Comunitaria Metropolitana Nord, Institut Català de la Salut, Badalona, Barcelona, España.

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http://dx.doi.org/10.1016/j.hipert.2019.01.002DOI Listing

Kidney transplant registries: How to optimise their utility?

Nefrologia 2019 Mar 5. Epub 2019 Mar 5.

Centro de Atención Primaria La Cuesta, La Laguna, Santa Cruz de Tenerife, España.

The scientific Registries (RE) in renal transplantation (Tx) are very useful since they allow us to identify risk factors in this population and facilitate contrasting the information with other national and international registries, contributing to establishing strategies which improve outcomes in terms of survival. They constitute an organised and planned system that uses observational methods and standardised systematic processes, including adjusted risk models, to essentially evaluate survival outcomes. The scientific RE are complemented with clinical trials providing scientific evidence, but inexcusably need adequate statistical analysis to generate reliable clinical data that contribute to optimising the prognosis of the transplant population. Read More

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http://dx.doi.org/10.1016/j.nefro.2018.11.008DOI Listing

[Probabilistic spatial-temporal prediction of total and severe epidemic of dengue in Colombia].

Rev Salud Publica (Bogota) 2018 May-Jun;20(3):352-358

MF: MD.P. Pediatra. Hospital de Meissen ESE II Nivel de atención. Bogotá, Colombia.

Objective : To establish a new predictive methodology to determine the proportion of severe dengue with respect to the annual total of dengue infections per department based on the probability theory.

Materials And Methods : Based on annual data on the number of infected persons by department in the period 2005-2010, the proportion of cases of severe dengue was calculated with respect to the total for each year. Probability spaces were constructed to evaluate these events in the ranges 0. Read More

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http://dx.doi.org/10.15446/rsap.V20n3.42701DOI Listing
December 2016
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Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study.

BMJ Open 2019 Mar 3;9(3):e020120. Epub 2019 Mar 3.

Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.

Objective: This study aimed to analyse the impact of comprehensive smoke-free legislation (SFL) on the prevalence and incidence of adult smoking in primary healthcare (PHC) patients from three Spanish regions, overall and stratified by sex.

Design: Longitudinal observational study conducted between 2008 and 2013.

Setting: 66 PHC teams in Catalonia, Navarre and the Balearic Islands (Spain). Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2017-02012
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http://dx.doi.org/10.1136/bmjopen-2017-020120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443085PMC
March 2019
2 Reads

In response to the FDA warning about the use of photomedicine in gynecology.

Lasers Med Sci 2019 Mar 4. Epub 2019 Mar 4.

DIATROS, Clínica de Atención a la Mujer, C/ Aragó 403-405, 08013, Barcelona, Spain.

To alert patients and health care providers about the use of energy-based devices to perform a vaginal "rejuvenation," cosmetic vaginal procedures, or nonsurgical vaginal procedures to treat symptoms related to menopause, urinary incontinence, or sexual function, the US Food and Drug Administration (FDA) has issued a warning about the effectiveness and safety of such devices. We agree with the FDA that certain devices (laser, radiofrequency, etc.) have been marketed inappropriately for uses that are outside of their cleared or approved intended uses. Read More

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http://link.springer.com/10.1007/s10103-019-02744-1
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http://dx.doi.org/10.1007/s10103-019-02744-1DOI Listing
March 2019
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Analysis of referrals after a synergic work between Primary Care and Urology. Impact of joint protocol implementation and a continuing education program in our healthcare area.

Actas Urol Esp 2019 Feb 26. Epub 2019 Feb 26.

Servicio de Urología, Hospital Universitario 12 de Octubre, Madrid, España.

Objective: To analyse the evolution and adequacy of referrals from Primary Care to Urology, after the implementation of referral protocols on the most frequent urological diseases and the establishment of a continuing education program.

Material And Methods: A Primary Care-Urology work group was created in 2011. Initially, performance and clinical practice protocols in prostatic pathology (BPH and PSA) were established. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02104806193000
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http://dx.doi.org/10.1016/j.acuro.2018.10.001DOI Listing
February 2019
4 Reads

Data Collection And Microbiological Monitoring In Global Tuberculosis Intervention.

Arch Bronconeumol 2019 Feb 23. Epub 2019 Feb 23.

Departamento de Microbiología, Facultad de Medicina, Universidad de Valladolid, Valladolid, España.

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http://dx.doi.org/10.1016/j.arbres.2019.01.018DOI Listing
February 2019
2 Reads